Susan J Tate in Fort Wainwright - Emergency Medical Services
Susan J Tate - NPI 1184611519
Susan J Tate is a Emergency Medical Services in Fort Wainwright, Alaska. Susan J Tate practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Susan J Tate is 1184611519. The last update date is 2018-05-01.
Susan J Tate's current location address is 4076 Neely Road, Fort Wainwright, Alaska. You can contact this provider via phone number 9073615479. The mailing address for Susan J Tate is 4076 Neely Road, Fort Wainwright, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J Tate |
|---|---|
| Address | 4076 Neely Road, Fort Wainwright, Alaska |
| Phone Number | 9073615479 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184611519 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2018-05-01 |
Provider Mailing Address Detail
| Address | 4076 Neely Road |
|---|---|
| City | Fort Wainwright |
| State | Alaska (AK) |
| Post Code | 99703 |
| Phone Number | 9073615479 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 4295 |
|
Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD0991 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan J Tate by the Centers for Medicare & Medicaid Services?
The Susan J Tate has been issued the NPI (National Provider Identifier) 1184611519, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Susan J Tate's physical address?
The Susan J Tate is physically located at 4076 Neely Road, in the city of Fort Wainwright, AK, with the postal code 99703.
What is Susan J Tate's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan J Tate is Emergency Medical Services, and the taxonomy code that classifies this field of practice is 207Pe0004X.
On what date did the Susan J Tate receive the assignment of its 1184611519 from the Centers for Medicare & Medicaid Services?
The Susan J Tate was issued its 1184611519 by the Centers for Medicare & Medicaid Services on 2005-09-30.
When was the information related to Susan J Tate most recently updated or refreshed?
The details pertaining to the Susan J Tate, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-05-01.
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