Timothy Wallace Kaczmar in Eldridge - Family Medicine
Timothy Wallace Kaczmar - NPI 1447244405
Timothy Wallace Kaczmar is a Family Medicine in Eldridge, California. Timothy Wallace Kaczmar practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy Wallace Kaczmar is 1447244405. The last update date is 2016-11-17.
Timothy Wallace Kaczmar's current location address is 15000 Arnold Dr, Eldridge, California. You can contact this provider via phone number 7079386000. The mailing address for Timothy Wallace Kaczmar is 15000 Arnold Dr, Eldridge, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy Wallace Kaczmar |
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Address | 15000 Arnold Dr, Eldridge, California |
Phone Number | 7079386000 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1447244405 |
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Provider Enumeration Date | 2005-09-07 |
Last Updated Date | 2016-11-17 |
Provider Mailing Address Detail
Address | 15000 Arnold Dr |
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City | Eldridge |
State | California (CA) |
Post Code | 954318900 |
Phone Number | 7079386000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | G68791 |
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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What is the unique identification code assigned to Timothy Wallace Kaczmar by the Centers for Medicare & Medicaid Services?
The Timothy Wallace Kaczmar has been issued the NPI (National Provider Identifier) 1447244405. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Timothy Wallace Kaczmar located?
The Timothy Wallace Kaczmar is located at 15000 Arnold Dr, Eldridge, CA 954318900.
What is the area of specialization for Timothy Wallace Kaczmar, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy Wallace Kaczmar is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date was the 1447244405 assigned to Timothy Wallace Kaczmar?
The Timothy Wallace Kaczmar was issued its 1447244405 on 2005-09-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Timothy Wallace Kaczmar, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timothy Wallace Kaczmar, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-17.