Jerry R Powell in Rochester - Family Medicine

Jerry R Powell - NPI 1619958378

Jerry R Powell is a Family Medicine in Rochester, Indiana. Jerry R Powell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry R Powell is 1619958378. The last update date is 2019-11-12.

Jerry R Powell's current location address is 1400 E 9th St, Rochester, Indiana. You can contact this provider via phone number 5742241048 and fax number 5742241103. The mailing address for Jerry R Powell is 1400 E 9th St, Rochester, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry R Powell
Address 1400 E 9th St, Rochester, Indiana
Phone Number 5742241048
Fax Number 5742241103
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619958378
Provider Enumeration Date 2005-11-09
Last Updated Date 2019-11-12

Provider Mailing Address Detail

Address 1400 E 9th St
City Rochester
State Indiana (IN)
Post Code 469758937
Phone Number 5742241048
Fax Number 5742241103

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 1053633
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200001940A IN --
200231510 IN --

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FAQs about Jerry R Powell

What is the unique 10-digit identifier code issued to Jerry R Powell by the Centers for Medicare & Medicaid Services?

The Jerry R Powell has been assigned the NPI (National Provider Identifier) 1619958378 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jerry R Powell?

The Jerry R Powell is physically situated at 1400 E 9Th St, in the city of Rochester, state of IN, with the postal code 469758937.

What is Jerry R Powell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerry R Powell's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did Jerry R Powell receive its 1619958378 assignment from the Centers for Medicare & Medicaid Services?

The Jerry R Powell was assigned its 1619958378 on 2005-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jerry R Powell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jerry R Powell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-12.

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