Maria M. Petrick in Santa Rosa - Allergy & Immunology
Maria M. Petrick - NPI 1396743605
Maria M. Petrick is a Allergy & Immunology in Santa Rosa, California. Maria M. Petrick practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Maria M. Petrick is 1396743605. The last update date is 2015-11-16.
Maria M. Petrick's current location address is 130 Stony Point Rd, Santa Rosa, California. You can contact this provider via phone number 7075250211 and fax number 7075250491. The mailing address for Maria M. Petrick is 130 Stony Point Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria M. Petrick |
|---|---|
| Address | 130 Stony Point Rd, Santa Rosa, California |
| Phone Number | 7075250211 |
| Fax Number | 7075250491 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396743605 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2015-11-16 |
Provider Mailing Address Detail
| Address | 130 Stony Point Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954014120 |
| Phone Number | 7075250211 |
| Fax Number | 7075250491 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | 40808 |
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Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 514027 | KY | ANTHEM PIN | |
| HKRAA3F00 | HIN NUMBER | ||
| P00411953 | KY | RAILROAD MEDICARE | |
| ZZZ95243Z | MEDICARE PTAN | ||
| 200855600 | IN | -- | |
| 7100013590 | KY | -- | |
| 50015240 | KY | PASSPORT | |
| GR0061440 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Maria M. Petrick by the Centers for Medicare & Medicaid Services?
The Maria M. Petrick has been issued the NPI (National Provider Identifier) 1396743605. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Maria M. Petrick?
The Maria M. Petrick is situated at 130 Stony Point Rd, in the city of Santa Rosa, state of CA, with the zip code 954014120.
What is Maria M. Petrick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Maria M. Petrick is Allergy & Immunology, and the taxonomy code that classifies this field of practice is 207K00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396743605 to Maria M. Petrick?
The Maria M. Petrick received its 1396743605 assignment from the Centers for Medicare & Medicaid Services on 2005-07-11.
As of what date were the details related to Maria M. Petrick most recently updated or revised?
The information pertaining to Maria M. Petrick, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-16.