Jacques R Conaway in Berlin - Critical Care Medicine
Jacques R Conaway - NPI 1437245362
Jacques R Conaway is a Critical Care Medicine in Berlin, Maryland. Jacques R Conaway practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Jacques R Conaway is 1437245362. The last update date is 2022-09-29.
Jacques R Conaway's current location address is 11107 Cathage Rd Unit 201, Berlin, Maryland. You can contact this provider via phone number 4109126825 and fax number 4109126827. The mailing address for Jacques R Conaway is 11107 Cathage Rd Unit 201, Berlin, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacques R Conaway |
|---|---|
| Address | 11107 Cathage Rd Unit 201, Berlin, Maryland |
| Phone Number | 4109126825 |
| Fax Number | 4109126827 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437245362 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2022-09-29 |
Provider Mailing Address Detail
| Address | 11107 Cathage Rd Unit 201 |
|---|---|
| City | Berlin |
| State | Maryland (MD) |
| Post Code | 218112156 |
| Phone Number | 4109126825 |
| Fax Number | 4109126827 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | D0055034 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0017 E554 | MD | BLUE CHOICE/FEP | |
| 4800365 | UNITED HEALTHCARE MCO | ||
| 290012458 | RAILROAD MEDICARE | ||
| 76926302 420A | MD | BLUE SHIELD | |
| 1937706 | UNITED HEALTHCARE | ||
| 296540 | MAMSI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacques R Conaway by the Centers for Medicare & Medicaid Services?
The Jacques R Conaway has been assigned the NPI (National Provider Identifier) 1437245362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jacques R Conaway's physical address?
The Jacques R Conaway is physically located at 11107 Cathage Rd Unit 201, in the city of Berlin, MD, with the postal code 218112156.
What is Jacques R Conaway's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacques R Conaway is Critical Care Medicine, and the taxonomy code that categorizes this field of expertise is 207Rc0200X.
On what date did the Jacques R Conaway receive the assignment of its 1437245362 from the Centers for Medicare & Medicaid Services?
The Jacques R Conaway was issued its 1437245362 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date were the details related to Jacques R Conaway most recently updated or revised?
The information pertaining to Jacques R Conaway, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-29.