Evan Taylor Wythe in Modesto - Emergency Medicine
Evan Taylor Wythe - NPI 1013908433
Evan Taylor Wythe is a Emergency Medicine in Modesto, California. Evan Taylor Wythe practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Evan Taylor Wythe is 1013908433. The last update date is 2010-06-22.
Evan Taylor Wythe's current location address is 4301 Northstar Way, Modesto, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for Evan Taylor Wythe is 4301 Northstar Way, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan Taylor Wythe |
|---|---|
| Address | 4301 Northstar Way, Modesto, California |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013908433 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2010-06-22 |
Provider Mailing Address Detail
| Address | 4301 Northstar Way |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953569262 |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | G52284 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G522840 | CA | -- | |
| 00G522840 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Evan Taylor Wythe by the Centers for Medicare & Medicaid Services?
The Evan Taylor Wythe has been assigned the NPI (National Provider Identifier) 1013908433 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Evan Taylor Wythe is geographically located?
The Evan Taylor Wythe is physically situated at the following location: 4301 Northstar Way, Modesto, CA, 953569262.
What is the Evan Taylor Wythe's area of specialization and corresponding taxonomy classification?
The Evan Taylor Wythe's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Evan Taylor Wythe receive the assignment of its 1013908433 from the Centers for Medicare & Medicaid Services?
The Evan Taylor Wythe was issued its 1013908433 by the Centers for Medicare & Medicaid Services on 2005-11-03.
As of what date were the Evan Taylor Wythe's details last updated?
The information pertaining to the Evan Taylor Wythe, including its address, specialty, and other details, was most recently updated on 2010-06-22.
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