Tracey Way Childers in Tahlequah - Otolaryngology/facial Plastic Surgery
Tracey Way Childers - NPI 1053371021
Tracey Way Childers is a Otolaryngology/facial Plastic Surgery in Tahlequah, Oklahoma. Tracey Way Childers practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Tracey Way Childers is 1053371021. The last update date is 2011-03-09.
Tracey Way Childers's current location address is 1203 E Ross Byp, Tahlequah, Oklahoma. You can contact this provider via phone number 9184531234 and fax number 9184539107. The mailing address for Tracey Way Childers is 1203 E Ross Byp, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Way Childers |
|---|---|
| Address | 1203 E Ross Byp, Tahlequah, Oklahoma |
| Phone Number | 9184531234 |
| Fax Number | 9184539107 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1053371021 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2011-03-09 |
Provider Mailing Address Detail
| Address | 1203 E Ross Byp |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744644188 |
| Phone Number | 9184531234 |
| Fax Number | 9184539107 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 3296 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DA5295 | OK | RAILROAD MEDICARE GROUP NUMBER | |
| P00027981 | OK | RAILROAD MEDICARE PIN NUMBER | |
| 200000030A | OK | -- | |
| 100257460A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tracey Way Childers by the Centers for Medicare & Medicaid Services (CMS)?
The Tracey Way Childers has been assigned the NPI (National Provider Identifier) 1053371021. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Tracey Way Childers is physically located?
The Tracey Way Childers is situated at the following address: 1203 E Ross Byp, Tahlequah, OK 744644188.
What is Tracey Way Childers's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracey Way Childers is Otolaryngology/facial Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Yx0905X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053371021 to Tracey Way Childers?
The Centers for Medicare & Medicaid Services originally issued the 1053371021 to Tracey Way Childers on 2006-03-24.
When was the information regarding Tracey Way Childers most recently updated?
The details pertaining to the Tracey Way Childers, including its address, specialty, and other relevant information, were last refreshed on 2011-03-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY