Theresa Blaine Bak Payne in Madison - Geriatric Medicine
Theresa Blaine Bak Payne - NPI 1306858956
Theresa Blaine Bak Payne is a Geriatric Medicine in Madison, Florida. Theresa Blaine Bak Payne practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Theresa Blaine Bak Payne is 1306858956. The last update date is 2016-06-30.
Theresa Blaine Bak Payne's current location address is Po Box 185, Madison, Florida. You can contact this provider via phone number 8509731215 and fax number 8669264163. The mailing address for Theresa Blaine Bak Payne is Po Box 185, Madison, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Blaine Bak Payne |
|---|---|
| Address | Po Box 185, Madison, Florida |
| Phone Number | 8509731215 |
| Fax Number | 8669264163 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1306858956 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2016-06-30 |
Provider Mailing Address Detail
| Address | Po Box 185 |
|---|---|
| City | Madison |
| State | Florida (FL) |
| Post Code | 323410185 |
| Phone Number | 8509731215 |
| Fax Number | 8669264163 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | OS9255 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 272752800 | FL | -- | |
| P00281257 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Theresa Blaine Bak Payne by the Centers for Medicare & Medicaid Services?
The Theresa Blaine Bak Payne has been issued the NPI (National Provider Identifier) 1306858956 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Theresa Blaine Bak Payne is located?
The Theresa Blaine Bak Payne is situated at the following address: Po Box 185, Madison, FL, 323410185.
What is Theresa Blaine Bak Payne's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theresa Blaine Bak Payne is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qg0300X.
When did Theresa Blaine Bak Payne receive its 1306858956 assignment?
The Theresa Blaine Bak Payne was assigned its 1306858956 on 2006-08-12, which is the date when this unique identifier was issued to the organization.
When was the information regarding Theresa Blaine Bak Payne most recently updated?
The details pertaining to the Theresa Blaine Bak Payne, including its address, specialty, and other relevant information, were last refreshed on 2016-06-30.