Jason Theodore Koreckij in Columbia - Orthopaedic Surgery Of The Spine
Jason Theodore Koreckij - NPI 1992739312
Jason Theodore Koreckij is a Orthopaedic Surgery Of The Spine in Columbia, Missouri. Jason Theodore Koreckij practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Jason Theodore Koreckij is 1992739312. The last update date is 2012-10-03.
Jason Theodore Koreckij's current location address is 1 S Keene St, Columbia, Missouri. You can contact this provider via phone number 5734432402 and fax number 5734430574. The mailing address for Jason Theodore Koreckij is 1 S Keene St, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Theodore Koreckij |
|---|---|
| Address | 1 S Keene St, Columbia, Missouri |
| Phone Number | 5734432402 |
| Fax Number | 5734430574 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992739312 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2012-10-03 |
Provider Mailing Address Detail
| Address | 1 S Keene St |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652017199 |
| Phone Number | 5734432402 |
| Fax Number | 5734430574 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | 2009007659 |
|
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104180020 | MO | PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Jason Theodore Koreckij by the Centers for Medicare & Medicaid Services?
The Jason Theodore Koreckij has been issued the NPI (National Provider Identifier) 1992739312. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jason Theodore Koreckij is located?
The Jason Theodore Koreckij is situated at the following address: 1 S Keene St, Columbia, MO, 652017199.
What is the area of specialization for Jason Theodore Koreckij, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jason Theodore Koreckij is Orthopaedic Surgery Of The Spine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xs0117X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992739312 to Jason Theodore Koreckij?
The Centers for Medicare & Medicaid Services originally issued the 1992739312 to Jason Theodore Koreckij on 2006-07-10.
As of what date were the details pertaining to Jason Theodore Koreckij last refreshed?
The information related to the Jason Theodore Koreckij, including its address, specialty, and other relevant details, was last updated on 2012-10-03.