John Joseph Mickey in Lafayette - Cardiovascular Disease

John Joseph Mickey - NPI 1710988241

John Joseph Mickey is a Cardiovascular Disease in Lafayette, Louisiana. John Joseph Mickey practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for John Joseph Mickey is 1710988241. The last update date is 2007-09-11.

John Joseph Mickey's current location address is 110 Hospital Dr, Lafayette, Louisiana. You can contact this provider via phone number 3372322900 and fax number 3372322990. The mailing address for John Joseph Mickey is 110 Hospital Dr, Lafayette, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John Joseph Mickey
Address 110 Hospital Dr, Lafayette, Louisiana
Phone Number 3372322900
Fax Number 3372322990
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1710988241
Provider Enumeration Date 2005-08-09
Last Updated Date 2007-09-11

Provider Mailing Address Detail

Address 110 Hospital Dr
City Lafayette
State Louisiana (LA)
Post Code 705032819
Phone Number 3372322900
Fax Number 3372322990

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 14418
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60054546 LA RR MEDICARE
1193411 LA --

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FAQs about John Joseph Mickey

What is the unique identifier code issued to John Joseph Mickey by the Centers for Medicare & Medicaid Services (CMS)?

The John Joseph Mickey has been assigned the NPI (National Provider Identifier) 1710988241. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where John Joseph Mickey is physically located?

The John Joseph Mickey is physically situated at the following address: 110 Hospital Dr, Lafayette, LA, 705032819.

What is John Joseph Mickey's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John Joseph Mickey is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.

On what date did the John Joseph Mickey receive the assignment of its 1710988241 from the Centers for Medicare & Medicaid Services?

The John Joseph Mickey was issued its 1710988241 by the Centers for Medicare & Medicaid Services on 2005-08-09.

When was the information regarding John Joseph Mickey, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Joseph Mickey, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-11.

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