Percy M Pentecost in Albuquerque - Geriatric Medicine
Percy M Pentecost - NPI 1750377412
Percy M Pentecost is a Geriatric Medicine in Albuquerque, New Mexico. Percy M Pentecost practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Percy M Pentecost is 1750377412. The last update date is 2021-02-15.
Percy M Pentecost's current location address is 3016 Mackland Ave Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5053990890 and fax number 5054480778. The mailing address for Percy M Pentecost is 3016 Mackland Ave Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Percy M Pentecost |
|---|---|
| Address | 3016 Mackland Ave Ne, Albuquerque, New Mexico |
| Phone Number | 5053990890 |
| Fax Number | 5054480778 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1750377412 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2021-02-15 |
Provider Mailing Address Detail
| Address | 3016 Mackland Ave Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871062018 |
| Phone Number | 5053990890 |
| Fax Number | 5054480778 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | MD2004-0754 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the unique 10-digit identifier code issued to Percy M Pentecost by the Centers for Medicare & Medicaid Services?
The Percy M Pentecost has been assigned the NPI (National Provider Identifier) 1750377412 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Percy M Pentecost?
The Percy M Pentecost is physically situated at 3016 Mackland Ave Ne, in the city of Albuquerque, state of NM, with the postal code 871062018.
What is Percy M Pentecost's specialized field of practice, and what is the corresponding taxonomy classification code?
The Percy M Pentecost's area of specialization is Geriatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750377412 to Percy M Pentecost?
The Percy M Pentecost received its 1750377412 assignment from the Centers for Medicare & Medicaid Services on 2005-09-27.
As of what date were the details related to Percy M Pentecost most recently updated or revised?
The information pertaining to Percy M Pentecost, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-15.
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