Jeremy A Idjadi in Port Townsend - Orthopaedic Surgery

Jeremy A Idjadi - NPI 1578659264

Jeremy A Idjadi is a Orthopaedic Surgery in Port Townsend, Washington. Jeremy A Idjadi practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Jeremy A Idjadi is 1578659264. The last update date is 2021-06-08.

Jeremy A Idjadi's current location address is 834 Sheridan St, Port Townsend, Washington. You can contact this provider via phone number 3603852200 and fax number 3603440418. The mailing address for Jeremy A Idjadi is 834 Sheridan St, Port Townsend, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy A Idjadi
Address 834 Sheridan St, Port Townsend, Washington
Phone Number 3603852200
Fax Number 3603440418
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1578659264
Provider Enumeration Date 2006-10-04
Last Updated Date 2021-06-08

Provider Mailing Address Detail

Address 834 Sheridan St
City Port Townsend
State Washington (WA)
Post Code 983682443
Phone Number 3603852200
Fax Number 3603440418

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No MD00046591
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00669277 WA MEDICARE RR KING CO.
G8891350 WA MEDICARE EMRI
G8862908 WA MEDICARE POSM
213802 WA L & I

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FAQs about Jeremy A Idjadi

What is the unique 10-digit identification code assigned to Jeremy A Idjadi by the Centers for Medicare & Medicaid Services?

The Jeremy A Idjadi has been issued the NPI (National Provider Identifier) 1578659264, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jeremy A Idjadi is physically located?

The Jeremy A Idjadi is situated at the following address: 834 Sheridan St, Port Townsend, WA 983682443.

What is Jeremy A Idjadi'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 Jeremy A Idjadi is Orthopaedic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207X00000X.

On what date did the Jeremy A Idjadi receive its 1578659264 assignment from the Centers for Medicare & Medicaid Services?

The Jeremy A Idjadi was assigned its 1578659264 by the Centers for Medicare & Medicaid Services on 2006-10-04.

When was the information pertaining to Jeremy A Idjadi most recently updated or revised?

The details related to Jeremy A Idjadi, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-08.

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