Jay Riseman Md Ltd in Springfield - Family Medicine

Jay Riseman Md Ltd - NPI 1508982299

Jay Riseman Md Ltd is a Family Medicine in Springfield, Illinois. Jay Riseman Md Ltd practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jay Riseman Md Ltd is 1508982299. The last update date is 2007-10-31.

Jay Riseman Md Ltd's current location address is 2524 Farragut Dr, Springfield, Illinois. You can contact this provider via phone number 2175468711 and fax number 2175468720. The mailing address for Jay Riseman Md Ltd is 2524 Farragut Dr, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jay Riseman Md Ltd
Address 2524 Farragut Dr, Springfield, Illinois
Phone Number 2175468711
Fax Number 2175468720
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICER
Authorized Official Name Riseman A Jay
Credentials MD
Telephone Number 2176298711

NPI Number Detail

NPI Number 1508982299
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-10-31

Provider Mailing Address Detail

Address 2524 Farragut Dr
City Springfield
State Illinois (IL)
Post Code 627048400
Phone Number 2175468711
Fax Number 2175468720

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
148336 IL HEALTHLINK NETWORK ID
8400721 IL BLUECROSS BLUESHIELD
3001 NEIC SITE ID,NSF BAO-7
87768 IL HEALTH ALLIANCE

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FAQs about Jay Riseman Md Ltd

What is the unique provider identifier assigned to Jay Riseman Md Ltd?

The Jay Riseman Md Ltd has been issued the NPI (National Provider Identifier) 1508982299 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 Jay Riseman Md Ltd?

The Jay Riseman Md Ltd is situated at 2524 Farragut Dr, in the city of Springfield, state of IL, with the zip code 627048400.

What is Jay Riseman Md Ltd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jay Riseman Md Ltd's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

When did the Jay Riseman Md Ltd receive its 1508982299?

The Jay Riseman Md Ltd was issued its 1508982299 on 2007-03-22, which is the date when the organization was assigned this unique identifier.

When was the information regarding Jay Riseman Md Ltd most recently updated?

The details pertaining to the Jay Riseman Md Ltd, including its address, specialty, and other relevant information, were last refreshed on 2007-10-31.

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