Jason John Stacy in Columbia - Family Medicine
Jason John Stacy - NPI 1831164334
Jason John Stacy is a Family Medicine in Columbia, South Carolina. Jason John Stacy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jason John Stacy is 1831164334. The last update date is 2010-04-02.
Jason John Stacy's current location address is 3209 Colonial Dr, Columbia, South Carolina. You can contact this provider via phone number 8034346116 and fax number 8034347529. The mailing address for Jason John Stacy is 3209 Colonial Dr, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason John Stacy |
|---|---|
| Address | 3209 Colonial Dr, Columbia, South Carolina |
| Phone Number | 8034346116 |
| Fax Number | 8034347529 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831164334 |
|---|---|
| Provider Enumeration Date | 2006-02-20 |
| Last Updated Date | 2010-04-02 |
Provider Mailing Address Detail
| Address | 3209 Colonial Dr |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292036930 |
| Phone Number | 8034346116 |
| Fax Number | 8034347529 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 24051 |
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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 |
|---|---|---|---|
| 534520001 | SC | MEDICARE DME | |
| 240518 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jason John Stacy by the Centers for Medicare & Medicaid Services (CMS)?
The Jason John Stacy has been assigned the NPI (National Provider Identifier) 1831164334. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jason John Stacy located?
The Jason John Stacy is located at 3209 Colonial Dr, Columbia, SC 292036930.
What is the area of specialization for Jason John Stacy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jason John Stacy is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
When was the Jason John Stacy's 1831164334 issued?
The Jason John Stacy's 1831164334 was issued on 2006-02-20.
When was the Jason John Stacy's information last updated?
The Jason John Stacy's information was last updated on 2010-04-02.