Paul R Summerside in De Pere - Emergency Medicine
Paul R Summerside - NPI 1720009459
Paul R Summerside is a Emergency Medicine in De Pere, Wisconsin. Paul R Summerside practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Paul R Summerside is 1720009459. The last update date is 2016-02-09.
Paul R Summerside's current location address is 614 Randall Ave, De Pere, Wisconsin. You can contact this provider via phone number 9203277250 and fax number 9203277249. The mailing address for Paul R Summerside is 614 Randall Ave, De Pere, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul R Summerside |
|---|---|
| Address | 614 Randall Ave, De Pere, Wisconsin |
| Phone Number | 9203277250 |
| Fax Number | 9203277249 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720009459 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2016-02-09 |
Provider Mailing Address Detail
| Address | 614 Randall Ave |
|---|---|
| City | De Pere |
| State | Wisconsin (WI) |
| Post Code | 541152640 |
| Phone Number | 9203277250 |
| Fax Number | 9203277249 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 29836 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31449300 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Paul R Summerside?
The Paul R Summerside has been issued the NPI (National Provider Identifier) 1720009459 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Paul R Summerside?
The Paul R Summerside is situated at 614 Randall Ave, in the city of De Pere, state of WI, with the zip code 541152640.
What is Paul R Summerside's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul R Summerside is Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720009459 to Paul R Summerside?
The Paul R Summerside received its 1720009459 assignment from the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date was the information pertaining to Paul R Summerside, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Paul R Summerside, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-02-09.