Jed Jitsugo Tatsuyama in Pueblo - Family Medicine
Jed Jitsugo Tatsuyama - NPI 1114960192
Jed Jitsugo Tatsuyama is a Family Medicine in Pueblo, Colorado. Jed Jitsugo Tatsuyama practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jed Jitsugo Tatsuyama is 1114960192. The last update date is 2008-04-30.
Jed Jitsugo Tatsuyama's current location address is 1619 N Greenwood Street, Pueblo, Colorado. You can contact this provider via phone number 7195431130 and fax number 7195612764. The mailing address for Jed Jitsugo Tatsuyama is 1619 N Greenwood Street, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jed Jitsugo Tatsuyama |
|---|---|
| Address | 1619 N Greenwood Street, Pueblo, Colorado |
| Phone Number | 7195431130 |
| Fax Number | 7195612764 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114960192 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 1619 N Greenwood Street |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 81003 |
| Phone Number | 7195431130 |
| Fax Number | 7195612764 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 41404 |
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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 |
|---|---|---|---|
| 62287338 | CO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jed Jitsugo Tatsuyama by the Centers for Medicare & Medicaid Services?
The Jed Jitsugo Tatsuyama has been issued the NPI (National Provider Identifier) 1114960192. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jed Jitsugo Tatsuyama is located?
The Jed Jitsugo Tatsuyama is situated at the following address: 1619 N Greenwood Street, Pueblo, CO, 81003.
What is Jed Jitsugo Tatsuyama's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jed Jitsugo Tatsuyama is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Jed Jitsugo Tatsuyama receive the assignment of its 1114960192 from the Centers for Medicare & Medicaid Services?
The Jed Jitsugo Tatsuyama was issued its 1114960192 by the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information pertaining to Jed Jitsugo Tatsuyama most recently updated or revised?
The details related to Jed Jitsugo Tatsuyama, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-30.