Kirk D Scattergood in Green Bay - Retina Specialist
Kirk D Scattergood - NPI 1790702652
Kirk D Scattergood is a Retina Specialist in Green Bay, Wisconsin. Kirk D Scattergood practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Kirk D Scattergood is 1790702652. The last update date is 2022-04-07.
Kirk D Scattergood's current location address is 164 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9204909046 and fax number 9203277005. The mailing address for Kirk D Scattergood is 164 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk D Scattergood |
|---|---|
| Address | 164 N Broadway, Green Bay, Wisconsin |
| Phone Number | 9204909046 |
| Fax Number | 9203277005 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790702652 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2022-04-07 |
Provider Mailing Address Detail
| Address | 164 N Broadway |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032728 |
| Phone Number | 9204909046 |
| Fax Number | 9203277005 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 36086 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32078200 | WI | -- |
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What is the unique 10-digit identifier code assigned to Kirk D Scattergood by the Centers for Medicare & Medicaid Services?
The Kirk D Scattergood has been issued the NPI (National Provider Identifier) 1790702652 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kirk D Scattergood located?
The Kirk D Scattergood is located at 164 N Broadway, Green Bay, WI 543032728.
What is Kirk D Scattergood's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kirk D Scattergood is Retina Specialist, and the taxonomy code that categorizes this field of expertise is 207Wx0107X.
When was the Kirk D Scattergood's 1790702652 issued?
The Kirk D Scattergood's 1790702652 was issued on 2006-07-16.
When was the information related to Kirk D Scattergood most recently updated or refreshed?
The details pertaining to the Kirk D Scattergood, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-07.
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