Kristopher Scott Fayock in Philadelphia - Sports Medicine
Kristopher Scott Fayock - NPI 1225205008
Kristopher Scott Fayock is a Sports Medicine in Philadelphia, Pennsylvania. Kristopher Scott Fayock practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kristopher Scott Fayock is 1225205008. The last update date is 2016-12-05.
Kristopher Scott Fayock's current location address is 3737 Market St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156628777. The mailing address for Kristopher Scott Fayock is 3737 Market St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristopher Scott Fayock |
|---|---|
| Address | 3737 Market St, Philadelphia, Pennsylvania |
| Phone Number | 2156628777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225205008 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2016-12-05 |
Provider Mailing Address Detail
| Address | 3737 Market St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191045545 |
| Phone Number | 2156628777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | C1-0010117 |
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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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What is the unique 10-digit identifier code issued to Kristopher Scott Fayock by the Centers for Medicare & Medicaid Services?
The Kristopher Scott Fayock has been assigned the NPI (National Provider Identifier) 1225205008 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 Kristopher Scott Fayock?
The Kristopher Scott Fayock is physically situated at 3737 Market St, in the city of Philadelphia, state of PA, with the postal code 191045545.
What is Kristopher Scott Fayock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristopher Scott Fayock's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225205008 to Kristopher Scott Fayock?
The Centers for Medicare & Medicaid Services originally issued the 1225205008 to Kristopher Scott Fayock on 2008-05-12.
As of what date were the Kristopher Scott Fayock's details last updated?
The information pertaining to the Kristopher Scott Fayock, including its address, specialty, and other details, was most recently updated on 2016-12-05.
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