Purchase Derm-Ent, Pllc in Paducah - Otolaryngology
Purchase Derm-Ent, Pllc - NPI 1336101179
Purchase Derm-Ent, Pllc is a Otolaryngology in Paducah, Kentucky. Purchase Derm-Ent, Pllc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Purchase Derm-Ent, Pllc is 1336101179. The last update date is 2012-05-30.
Purchase Derm-Ent, Pllc's current location address is 2605 Kentucky Avenue, Paducah, Kentucky. You can contact this provider via phone number 2704084368 and fax number 5704083272. The mailing address for Purchase Derm-Ent, Pllc is 2605 Kentucky Avenue, Paducah, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Purchase Derm-Ent, Pllc |
|---|---|
| Address | 2605 Kentucky Avenue, Paducah, Kentucky |
| Phone Number | 2704084368 |
| Fax Number | 5704083272 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Jones C Shawn |
| Credentials | M.D. |
| Telephone Number | 5704084368 |
NPI Number Detail
| NPI Number | 1336101179 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2012-05-30 |
Provider Mailing Address Detail
| Address | 2605 Kentucky Avenue |
|---|---|
| City | Paducah |
| State | Kentucky (KY) |
| Post Code | 420033800 |
| Phone Number | 2704084368 |
| Fax Number | 5704083272 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100198720 | KY | -- | |
| 78903721 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Purchase Derm-Ent, Pllc by the Centers for Medicare & Medicaid Services?
The Purchase Derm-Ent, Pllc has been assigned the NPI (National Provider Identifier) 1336101179 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Purchase Derm-Ent, Pllc located?
The Purchase Derm-Ent, Pllc is located at 2605 Kentucky Avenue, Paducah, KY 420033800.
What is Purchase Derm-Ent, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Purchase Derm-Ent, Pllc is Otolaryngology, and the taxonomy code that categorizes this field of expertise is 207Y00000X.
When was the Purchase Derm-Ent, Pllc's 1336101179 issued?
The Purchase Derm-Ent, Pllc's 1336101179 was issued on 2006-04-05.
When was the information regarding Purchase Derm-Ent, Pllc most recently updated?
The details pertaining to the Purchase Derm-Ent, Pllc, including its address, specialty, and other relevant information, were last refreshed on 2012-05-30.