Jack Foster Ditty in Ashland - Mohs-micrographic Surgery
Jack Foster Ditty - NPI 1740315589
Jack Foster Ditty is a Mohs-micrographic Surgery in Ashland, Kentucky. Jack Foster Ditty practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Jack Foster Ditty is 1740315589. The last update date is 2023-03-07.
Jack Foster Ditty's current location address is 100 Saint Christopher Dr, Ashland, Kentucky. You can contact this provider via phone number 6068363111 and fax number 6068335660. The mailing address for Jack Foster Ditty is 100 Saint Christopher Dr, Ashland, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Foster Ditty |
|---|---|
| Address | 100 Saint Christopher Dr, Ashland, Kentucky |
| Phone Number | 6068363111 |
| Fax Number | 6068335660 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1740315589 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 100 Saint Christopher Dr |
|---|---|
| City | Ashland |
| State | Kentucky (KY) |
| Post Code | 411017016 |
| Phone Number | 6068363111 |
| Fax Number | 6068335660 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 20687 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 611053554 | KY | TAX ID | |
| 64206873 | KY | -- | |
| 024 1170 | OH | -- | |
| 48343 | KY | ANTHEM PROVIDER # | |
| 20687 | KY | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Foster Ditty?
The Jack Foster Ditty has been issued the NPI (National Provider Identifier) 1740315589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack Foster Ditty's facilities are geographically located?
The facilities of Jack Foster Ditty are physically situated at the following location: 100 Saint Christopher Dr, Ashland, KY, 411017016.
What is Jack Foster Ditty's area of expertise and its corresponding taxonomy classification?
The Jack Foster Ditty's field of specialization is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their areas of practice.
When did the Jack Foster Ditty receive its 1740315589?
The Jack Foster Ditty was issued its 1740315589 on 2007-02-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Jack Foster Ditty's details last updated?
The information pertaining to the Jack Foster Ditty, including its address, specialty, and other details, was most recently updated on 2023-03-07.