Jaime Quezada in Lake Geneva - Family Medicine
Jaime Quezada - NPI 1356432660
Jaime Quezada is a Family Medicine in Lake Geneva, Wisconsin. Jaime Quezada practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jaime Quezada is 1356432660. The last update date is 2023-03-07.
Jaime Quezada's current location address is 350 Peller Rd, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622490221 and fax number 2622490633. The mailing address for Jaime Quezada is 350 Peller Rd, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaime Quezada |
|---|---|
| Address | 350 Peller Rd, Lake Geneva, Wisconsin |
| Phone Number | 2622490221 |
| Fax Number | 2622490633 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356432660 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 350 Peller Rd |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531474543 |
| Phone Number | 2622490221 |
| Fax Number | 2622490633 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36520 |
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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 |
|---|---|---|---|
| 34581200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jaime Quezada by the Centers for Medicare & Medicaid Services?
The Jaime Quezada has been assigned the NPI (National Provider Identifier) 1356432660 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jaime Quezada's facilities are geographically located?
The facilities of Jaime Quezada are physically situated at the following location: 350 Peller Rd, Lake Geneva, WI, 531474543.
What is Jaime Quezada's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jaime Quezada is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date was the 1356432660 assigned to Jaime Quezada?
The Jaime Quezada was issued its 1356432660 on 2006-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jaime Quezada most recently updated or revised?
The details related to Jaime Quezada, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.