Agnes A Enrico-Simon in Pt Pleasant - Family Medicine
Agnes A Enrico-Simon - NPI 1003910670
Agnes A Enrico-Simon is a Family Medicine in Pt Pleasant, . Agnes A Enrico-Simon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Agnes A Enrico-Simon is 1003910670. The last update date is 2010-01-27.
Agnes A Enrico-Simon's current location address is 2420 Jefferson Ave, Pt Pleasant, . You can contact this provider via phone number 3046756817 and fax number 3046755893. The mailing address for Agnes A Enrico-Simon is 2420 Jefferson Ave, Pt Pleasant, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agnes A Enrico-Simon |
|---|---|
| Address | 2420 Jefferson Ave, Pt Pleasant, |
| Phone Number | 3046756817 |
| Fax Number | 3046755893 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003910670 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2010-01-27 |
Provider Mailing Address Detail
| Address | 2420 Jefferson Ave |
|---|---|
| City | Pt Pleasant |
| State | (WV) |
| Post Code | 255501528 |
| Phone Number | 3046756817 |
| Fax Number | 3046755893 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 20514 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1723700 | WV | BCBS | |
| 2362269 | OH | -- | |
| 3002914000 | WV | -- | |
| 7133291 | WV | AETNA |
Post Comment/ Review Below
What is the unique identification code assigned to Agnes A Enrico-Simon by the Centers for Medicare & Medicaid Services?
The Agnes A Enrico-Simon has been issued the NPI (National Provider Identifier) 1003910670. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Agnes A Enrico-Simon's facilities are geographically located?
The facilities of Agnes A Enrico-Simon are physically situated at the following location: 2420 Jefferson Ave, Pt Pleasant, WV, 255501528.
What is Agnes A Enrico-Simon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Agnes A Enrico-Simon's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003910670 to Agnes A Enrico-Simon?
The Agnes A Enrico-Simon received its 1003910670 assignment from the Centers for Medicare & Medicaid Services on 2006-09-12.
As of what date were the details pertaining to Agnes A Enrico-Simon last refreshed?
The information related to the Agnes A Enrico-Simon, including its address, specialty, and other relevant details, was last updated on 2010-01-27.