Susan Vega is a Family Medicine in Country Club, Missouri. Susan Vega practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan Vega is 1093783862. The last update date is 2021-01-26.
Susan Vega's current location address is 8 Country Club Rd, Country Club, Missouri. You can contact this provider via phone number 8162320743 and fax number 8163644151. The mailing address for Susan Vega is 8 Country Club Rd, Country Club, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Vega |
|---|---|
| Address | 8 Country Club Rd, Country Club, Missouri |
| Phone Number | 8162320743 |
| Fax Number | 8163644151 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1093783862 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2021-01-26 |
Provider Mailing Address Detail
| Address | 8 Country Club Rd |
|---|---|
| City | Country Club |
| State | Missouri (MO) |
| Post Code | 645051014 |
| Phone Number | 8162320743 |
| Fax Number | 8163644151 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | R3P07 |
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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 |
|---|---|---|---|
| 18059179 | MO | BLUE CROSS BLUE SHIELD | |
| 243615069 | MO | -- | |
| P00415188 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan Vega by the Centers for Medicare & Medicaid Services?
The Susan Vega has been issued the NPI (National Provider Identifier) 1093783862, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan Vega?
The Susan Vega is physically situated at 8 Country Club Rd, in the city of Country Club, state of MO, with the postal code 645051014.
What is the Susan Vega's specialty and taxonomy code?
The Susan Vega's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Susan Vega receive its 1093783862?
The Susan Vega was issued its 1093783862 on 2006-03-09, which is the date when the organization was assigned this unique identifier.
When was the Susan Vega's information last updated?
The Susan Vega's information was last updated on 2021-01-26.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH