Pamela Ann Cushenberry Sta in Modesto - Family Medicine
Pamela Ann Cushenberry Sta - NPI 1801844105
Pamela Ann Cushenberry Sta is a Family Medicine in Modesto, California. Pamela Ann Cushenberry Sta practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Pamela Ann Cushenberry Sta is 1801844105. The last update date is 2017-07-13.
Pamela Ann Cushenberry Sta's current location address is 3612 Dale Rd, Modesto, California. You can contact this provider via phone number 2095220146. The mailing address for Pamela Ann Cushenberry Sta is 3612 Dale Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Ann Cushenberry Sta |
|---|---|
| Address | 3612 Dale Rd, Modesto, California |
| Phone Number | 2095220146 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1801844105 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2017-07-13 |
Provider Mailing Address Detail
| Address | 3612 Dale Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953560500 |
| Phone Number | 2095220146 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A62497 |
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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 |
|---|---|---|---|
| 00A624970 | CA | -- |
Post Comment/ Review Below
What is the Pamela Ann Cushenberry Sta's unique identification number?
The Pamela Ann Cushenberry Sta has been assigned the NPI (National Provider Identifier) Number 1801844105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Pamela Ann Cushenberry Sta's facilities are geographically located?
The facilities of Pamela Ann Cushenberry Sta are physically situated at the following location: 3612 Dale Rd, Modesto, CA, 953560500.
What is Pamela Ann Cushenberry Sta's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pamela Ann Cushenberry Sta's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801844105 to Pamela Ann Cushenberry Sta?
The Centers for Medicare & Medicaid Services assigned the 1801844105 to Pamela Ann Cushenberry Sta on 2006-05-05.
When was the information related to Pamela Ann Cushenberry Sta most recently updated or refreshed?
The details pertaining to the Pamela Ann Cushenberry Sta, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-07-13.
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