Susan L Raben-Taylor in Fayetteville - Sports Medicine
Susan L Raben-Taylor - NPI 1780613489
Susan L Raben-Taylor is a Sports Medicine in Fayetteville, Arkansas. Susan L Raben-Taylor practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Susan L Raben-Taylor is 1780613489. The last update date is 2019-03-20.
Susan L Raben-Taylor's current location address is 525 N Garland Ave, Fayetteville, Arkansas. You can contact this provider via phone number 8704245079 and fax number 8704248455. The mailing address for Susan L Raben-Taylor is 525 N Garland Ave, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L Raben-Taylor |
|---|---|
| Address | 525 N Garland Ave, Fayetteville, Arkansas |
| Phone Number | 8704245079 |
| Fax Number | 8704248455 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780613489 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2019-03-20 |
Provider Mailing Address Detail
| Address | 525 N Garland Ave |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727013110 |
| Phone Number | 8704245079 |
| Fax Number | 8704248455 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | N-7882 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12990 | AR | QUALCHOICE INSURANCE ID# |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan L Raben-Taylor by the Centers for Medicare & Medicaid Services?
The Susan L Raben-Taylor has been assigned the NPI (National Provider Identifier) 1780613489 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 street address where Susan L Raben-Taylor is physically located?
The Susan L Raben-Taylor is physically situated at the following address: 525 N Garland Ave, Fayetteville, AR, 727013110.
What is the Susan L Raben-Taylor's area of specialization and corresponding taxonomy classification?
The Susan L Raben-Taylor's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780613489 to Susan L Raben-Taylor?
The Centers for Medicare & Medicaid Services originally issued the 1780613489 to Susan L Raben-Taylor on 2006-07-03.
As of what date was the information regarding Susan L Raben-Taylor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan L Raben-Taylor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-03-20.