John Dominic Credico in Oregon - Obstetrics
John Dominic Credico - NPI 1023002938
John Dominic Credico is a Obstetrics in Oregon, Ohio. John Dominic Credico practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for John Dominic Credico is 1023002938. The last update date is 2008-03-11.
John Dominic Credico's current location address is 2751 Bay Park Dr, Oregon, Ohio. You can contact this provider via phone number 4196907611 and fax number 4196911511. The mailing address for John Dominic Credico is 2751 Bay Park Dr, Oregon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Dominic Credico |
|---|---|
| Address | 2751 Bay Park Dr, Oregon, Ohio |
| Phone Number | 4196907611 |
| Fax Number | 4196911511 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023002938 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2008-03-11 |
Provider Mailing Address Detail
| Address | 2751 Bay Park Dr |
|---|---|
| City | Oregon |
| State | Ohio (OH) |
| Post Code | 436164921 |
| Phone Number | 4196907611 |
| Fax Number | 4196911511 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics |
|---|---|
| Taxonomy | 207Vx0000X |
| Licence No | 35053584 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 601405 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Dominic Credico by the Centers for Medicare & Medicaid Services?
The John Dominic Credico has been issued the NPI (National Provider Identifier) 1023002938 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John Dominic Credico is physically located?
The John Dominic Credico is physically situated at the following address: 2751 Bay Park Dr, Oregon, OH, 436164921.
What is the area of specialization for John Dominic Credico, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Dominic Credico is Obstetrics, and the corresponding taxonomy code that categorizes this area of expertise is 207Vx0000X.
When was the John Dominic Credico's 1023002938 issued?
The John Dominic Credico's 1023002938 was issued on 2005-09-07.
When was the information pertaining to John Dominic Credico most recently updated or revised?
The details related to John Dominic Credico, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-11.