David George Short in Logansport - Otolaryngology/facial Plastic Surgery
David George Short - NPI 1134184153
David George Short is a Otolaryngology/facial Plastic Surgery in Logansport, Indiana. David George Short practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for David George Short is 1134184153. The last update date is 2015-12-08.
David George Short's current location address is 1025 Michigan Avenue, Logansport, Indiana. You can contact this provider via phone number 5747532222 and fax number 5747530522. The mailing address for David George Short is 1025 Michigan Avenue, Logansport, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David George Short |
|---|---|
| Address | 1025 Michigan Avenue, Logansport, Indiana |
| Phone Number | 5747532222 |
| Fax Number | 5747530522 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1134184153 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2015-12-08 |
Provider Mailing Address Detail
| Address | 1025 Michigan Avenue |
|---|---|
| City | Logansport |
| State | Indiana (IN) |
| Post Code | 469471594 |
| Phone Number | 5747532222 |
| Fax Number | 5747530522 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 02001212A |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 265973 | IN | HARMONY | |
| 90844 | IN | ANTHEM | |
| 596741 | IN | ANTHEM (LMH) | |
| 5231880002 | IN | CIGNA | |
| 1019948 | IN | TRICARE | |
| 4358987 | IN | AETNA | |
| 100071010 | IN | -- | |
| 356001853017 | IN | TRICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to David George Short?
The David George Short has been issued the NPI (National Provider Identifier) 1134184153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where David George Short is physically located?
The David George Short is situated at the following address: 1025 Michigan Avenue, Logansport, IN 469471594.
What is the area of specialization for David George Short, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David George Short is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Yx0905X.
When was the David George Short's 1134184153 issued?
The David George Short's 1134184153 was issued on 2006-04-20.
As of what date was the information pertaining to David George Short, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David George Short, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-08.