Kirk D Scattergood in Green Bay - Ophthalmology
Kirk D Scattergood - NPI 1790702652
Kirk D Scattergood is a Ophthalmology in Green Bay, Wisconsin. Kirk D Scattergood practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kirk D Scattergood is 1790702652. The last update date is 2022-04-07.
Kirk D Scattergood's current location address is 164 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9204909046 and fax number 9203277005. The mailing address for Kirk D Scattergood is 164 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kirk D Scattergood |
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Address | 164 N Broadway, Green Bay, Wisconsin |
Phone Number | 9204909046 |
Fax Number | 9203277005 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1790702652 |
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Provider Enumeration Date | 2006-07-16 |
Last Updated Date | 2022-04-07 |
Provider Mailing Address Detail
Address | 164 N Broadway |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543032728 |
Phone Number | 9204909046 |
Fax Number | 9203277005 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | 36086 |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
32078200 | WI | -- |
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What is the unique 10-digit identifier code assigned to Kirk D Scattergood by the Centers for Medicare & Medicaid Services?
The Kirk D Scattergood has been issued the NPI (National Provider Identifier) 1790702652 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kirk D Scattergood located?
The Kirk D Scattergood is located at 164 N Broadway, Green Bay, WI 543032728.
What is Kirk D Scattergood's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kirk D Scattergood is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.
When was the Kirk D Scattergood's 1790702652 issued?
The Kirk D Scattergood's 1790702652 was issued on 2006-07-16.
When was the information related to Kirk D Scattergood most recently updated or refreshed?
The details pertaining to the Kirk D Scattergood, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-07.
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