Jeremy Phillippe Broadnax in Springfield - Anesthesiology

Jeremy Phillippe Broadnax - NPI 1326204611

Jeremy Phillippe Broadnax is a Anesthesiology in Springfield, Missouri. Jeremy Phillippe Broadnax practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Jeremy Phillippe Broadnax is 1326204611. The last update date is 2019-08-01.

Jeremy Phillippe Broadnax's current location address is 1229 E Seminole St Ste 320, Springfield, Missouri. You can contact this provider via phone number 4178202064. The mailing address for Jeremy Phillippe Broadnax is 1229 E Seminole St Ste 320, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy Phillippe Broadnax
Address 1229 E Seminole St Ste 320, Springfield, Missouri
Phone Number 4178202064
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1326204611
Provider Enumeration Date 2008-08-06
Last Updated Date 2019-08-01

Provider Mailing Address Detail

Address 1229 E Seminole St Ste 320
City Springfield
State Missouri (MO)
Post Code 658042227
Phone Number 4178202064
Fax Number

Provider's Primary Taxonomy Detail

Speciality Anesthesiology
Taxonomy 207L00000X
Licence No 2013031744
Definition:
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200332001 AR --
431560263 MO TRICARE
1326204611 MO --
P01246688 MO RR MCR

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FAQs about Jeremy Phillippe Broadnax

What is the unique identifier code issued to Jeremy Phillippe Broadnax by the Centers for Medicare & Medicaid Services (CMS)?

The Jeremy Phillippe Broadnax has been assigned the NPI (National Provider Identifier) 1326204611. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Jeremy Phillippe Broadnax's facilities are situated?

The facilities of Jeremy Phillippe Broadnax are physically located at the following address: 1229 E Seminole St Ste 320, Springfield, MO, 658042227.

What is Jeremy Phillippe Broadnax's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeremy Phillippe Broadnax's area of specialization is Anesthesiology, and the corresponding taxonomy code that categorizes this field of practice is 207L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1326204611 to Jeremy Phillippe Broadnax?

The Centers for Medicare & Medicaid Services originally issued the 1326204611 to Jeremy Phillippe Broadnax on 2008-08-06.

As of what date was the information pertaining to Jeremy Phillippe Broadnax, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeremy Phillippe Broadnax, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-01.

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