Jonathan W Surdam in Bloomington - Specialist
Jonathan W Surdam - NPI 1124009287
Jonathan W Surdam is a Specialist in Bloomington, Indiana. Jonathan W Surdam practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jonathan W Surdam is 1124009287. The last update date is 2020-12-23.
Jonathan W Surdam's current location address is 1302 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123332663 and fax number 8126764131. The mailing address for Jonathan W Surdam is 1302 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan W Surdam |
|---|---|
| Address | 1302 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123332663 |
| Fax Number | 8126764131 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124009287 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2020-12-23 |
Provider Mailing Address Detail
| Address | 1302 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474034752 |
| Phone Number | 8123332663 |
| Fax Number | 8126764131 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1058877 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00146258 | IN | RAILROAD MEDICARE | |
| 200479570 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jonathan W Surdam by the Centers for Medicare & Medicaid Services?
The Jonathan W Surdam has been issued the NPI (National Provider Identifier) 1124009287, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jonathan W Surdam is located?
The Jonathan W Surdam is situated at the following address: 1302 S Rogers St, Bloomington, IN, 474034752.
What is Jonathan W Surdam's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jonathan W Surdam is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124009287 to Jonathan W Surdam?
The Jonathan W Surdam received its 1124009287 assignment from the Centers for Medicare & Medicaid Services on 2005-11-07.
As of what date was the information pertaining to Jonathan W Surdam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jonathan W Surdam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-12-23.
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