Basil Pittenger in Coos Bay - Internal Medicine

Basil Pittenger - NPI 1225013485

Basil Pittenger is a Internal Medicine in Coos Bay, Oregon. Basil Pittenger practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Basil Pittenger is 1225013485. The last update date is 2010-03-23.

Basil Pittenger's current location address is 1900 Woodland Dr, Coos Bay, Oregon. You can contact this provider via phone number 5412675151 and fax number 5412664528. The mailing address for Basil Pittenger is 1900 Woodland Dr, Coos Bay, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Basil Pittenger
Address 1900 Woodland Dr, Coos Bay, Oregon
Phone Number 5412675151
Fax Number 5412664528
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1225013485
Provider Enumeration Date 2005-12-09
Last Updated Date 2010-03-23

Provider Mailing Address Detail

Address 1900 Woodland Dr
City Coos Bay
State Oregon (OR)
Post Code 974200000
Phone Number 5412675151
Fax Number 5412664528

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD25030
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1407812365 OR NBMC GROUP NPI NUMBER
CB3544 OR RR MEDICARE GROUP NUMBER
R0000WFBTV OR MEDICARE GROUP PIN NUMBER
275268 OR --
P00143347 OR RR MEDICARE PTAN NUMBER

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FAQs about Basil Pittenger

What is the unique identifier code issued to Basil Pittenger by the Centers for Medicare & Medicaid Services (CMS)?

The Basil Pittenger has been assigned the NPI (National Provider Identifier) 1225013485. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Basil Pittenger's physical address?

The Basil Pittenger is physically located at 1900 Woodland Dr, in the city of Coos Bay, OR, with the postal code 974200000.

What is the Basil Pittenger's specialty and taxonomy code?

The Basil Pittenger's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Basil Pittenger receive its 1225013485 assignment from the Centers for Medicare & Medicaid Services?

The Basil Pittenger was assigned its 1225013485 by the Centers for Medicare & Medicaid Services on 2005-12-09.

As of what date was the information regarding Basil Pittenger, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Basil Pittenger, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-23.

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