Edward L Van Tassel in Klamath Falls - Sports Medicine
Edward L Van Tassel - NPI 1093737199
Edward L Van Tassel is a Sports Medicine in Klamath Falls, Oregon. Edward L Van Tassel practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Edward L Van Tassel is 1093737199. The last update date is 2023-03-07.
Edward L Van Tassel's current location address is 2200 Bryant Williams Drive, Klamath Falls, Oregon. You can contact this provider via phone number 5418847746 and fax number 5418840848. The mailing address for Edward L Van Tassel is 2200 Bryant Williams Drive, Klamath Falls, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward L Van Tassel |
|---|---|
| Address | 2200 Bryant Williams Drive, Klamath Falls, Oregon |
| Phone Number | 5418847746 |
| Fax Number | 5418840848 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1093737199 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2200 Bryant Williams Drive |
|---|---|
| City | Klamath Falls |
| State | Oregon (OR) |
| Post Code | 976011120 |
| Phone Number | 5418847746 |
| Fax Number | 5418840848 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | DO25890 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00464722 | OR | RAIL ROAD MEDICARE | |
| 213618 | OR | -- | |
| XPY145960 | CA | MEDI-CAL | |
| P00419803 | OR | RAIL ROAD MEDICARE | |
| 20889454297601 | OR | TRICARE | |
| 820591000 | OR | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Edward L Van Tassel by the Centers for Medicare & Medicaid Services (CMS)?
The Edward L Van Tassel has been assigned the NPI (National Provider Identifier) 1093737199. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Edward L Van Tassel is located?
The Edward L Van Tassel is situated at the following address: 2200 Bryant Williams Drive, Klamath Falls, OR, 976011120.
What is Edward L Van Tassel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edward L Van Tassel's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
On what date did the Edward L Van Tassel receive the assignment of its 1093737199 from the Centers for Medicare & Medicaid Services?
The Edward L Van Tassel was issued its 1093737199 by the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date were the details pertaining to Edward L Van Tassel last refreshed?
The information related to the Edward L Van Tassel, including its address, specialty, and other relevant details, was last updated on 2023-03-07.