John Benjamin Baccus in Granger - Pain Medicine
John Benjamin Baccus - NPI 1508831157
John Benjamin Baccus is a Pain Medicine in Granger, Indiana. John Benjamin Baccus practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for John Benjamin Baccus is 1508831157. The last update date is 2023-04-28.
John Benjamin Baccus's current location address is 3245 Health Dr Ste 100, Granger, Indiana. You can contact this provider via phone number 5746471069 and fax number 5742376069. The mailing address for John Benjamin Baccus is 3245 Health Dr Ste 100, Granger, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Benjamin Baccus |
|---|---|
| Address | 3245 Health Dr Ste 100, Granger, Indiana |
| Phone Number | 5746471069 |
| Fax Number | 5742376069 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508831157 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2023-04-28 |
Provider Mailing Address Detail
| Address | 3245 Health Dr Ste 100 |
|---|---|
| City | Granger |
| State | Indiana (IN) |
| Post Code | 465301380 |
| Phone Number | 5746471069 |
| Fax Number | 5742376069 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | 01072136A |
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Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201141150 | IN | -- |
Post Comment/ Review Below
What is the John Benjamin Baccus's unique identification number?
The John Benjamin Baccus has been assigned the NPI (National Provider Identifier) Number 1508831157 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of John Benjamin Baccus?
The John Benjamin Baccus is situated at 3245 Health Dr Ste 100, in the city of Granger, state of IN, with the zip code 465301380.
What is John Benjamin Baccus's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Benjamin Baccus is Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Lp2900X.
When did John Benjamin Baccus receive its 1508831157 assignment?
The John Benjamin Baccus was assigned its 1508831157 on 2006-02-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to John Benjamin Baccus most recently updated or revised?
The information pertaining to John Benjamin Baccus, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-28.
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