Timothy Jacks is a Pediatrics in Mesa, Arizona. Timothy Jacks practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Timothy Jacks is 1164686549. The last update date is 2013-05-17.
Timothy Jacks's current location address is 4540 E Baseline Rd, Mesa, Arizona. You can contact this provider via phone number 4808923880 and fax number 4805454551. The mailing address for Timothy Jacks is 4540 E Baseline Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Jacks |
|---|---|
| Address | 4540 E Baseline Rd, Mesa, Arizona |
| Phone Number | 4808923880 |
| Fax Number | 4805454551 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1164686549 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2013-05-17 |
Provider Mailing Address Detail
| Address | 4540 E Baseline Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852064613 |
| Phone Number | 4808923880 |
| Fax Number | 4805454551 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | R70095 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R70095 | AZ | TRAINING PERMIT |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Timothy Jacks by the Centers for Medicare & Medicaid Services?
The Timothy Jacks has been issued the NPI (National Provider Identifier) 1164686549 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Timothy Jacks?
The Timothy Jacks is situated at 4540 E Baseline Rd, in the city of Mesa, state of AZ, with the zip code 852064613.
What is Timothy Jacks'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 Timothy Jacks is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
When did the Timothy Jacks receive its 1164686549?
The Timothy Jacks was issued its 1164686549 on 2008-07-15, which is the date when the organization was assigned this unique identifier.
As of what date were the Timothy Jacks's details last updated?
The information pertaining to the Timothy Jacks, including its address, specialty, and other details, was most recently updated on 2013-05-17.
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