Jerad Widman is a Family Medicine in Spring Hill, Kansas. Jerad Widman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerad Widman is 1871780825. The last update date is 2017-08-16.
Jerad Widman's current location address is 22450 S Harrison St, Spring Hill, Kansas. You can contact this provider via phone number 9135922720 and fax number 9135922725. The mailing address for Jerad Widman is 22450 S Harrison St, Spring Hill, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerad Widman |
|---|---|
| Address | 22450 S Harrison St, Spring Hill, Kansas |
| Phone Number | 9135922720 |
| Fax Number | 9135922725 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Seeling Ali |
| Credentials | RN |
| Telephone Number | 9135922720 |
NPI Number Detail
| NPI Number | 1871780825 |
|---|---|
| Provider Enumeration Date | 2007-10-03 |
| Last Updated Date | 2017-08-16 |
Provider Mailing Address Detail
| Address | 22450 S Harrison St |
|---|---|
| City | Spring Hill |
| State | Kansas (KS) |
| Post Code | 660838882 |
| Phone Number | 9135922720 |
| Fax Number | 9135922725 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | KS0430763 |
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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 |
|---|---|---|---|
| 35084012 | BLUE CROSS BLUE SHIELD KC | ||
| 200300220D | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerad Widman by the Centers for Medicare & Medicaid Services?
The Jerad Widman has been issued the NPI (National Provider Identifier) 1871780825, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jerad Widman's facilities are situated?
The facilities of Jerad Widman are physically located at the following address: 22450 S Harrison St, Spring Hill, KS, 660838882.
What is the area of specialization for Jerad Widman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerad Widman is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Jerad Widman receive the assignment of its 1871780825 from the Centers for Medicare & Medicaid Services?
The Jerad Widman was issued its 1871780825 by the Centers for Medicare & Medicaid Services on 2007-10-03.
As of what date was the information regarding Jerad Widman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerad Widman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-08-16.
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