S T Sy Md Sc in Greenfield - Pediatrics

S T Sy Md Sc - NPI 1114020633

S T Sy Md Sc is a Pediatrics in Greenfield, Wisconsin. S T Sy Md Sc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for S T Sy Md Sc is 1114020633. The last update date is 2012-03-26.

S T Sy Md Sc's current location address is 4666 S 35th St, Greenfield, Wisconsin. You can contact this provider via phone number 4142810400 and fax number 4142810402. The mailing address for S T Sy Md Sc is 4666 S 35th St, Greenfield, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization S T Sy Md Sc
Address 4666 S 35th St, Greenfield, Wisconsin
Phone Number 4142810400
Fax Number 4142810402
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sy T Santiago
Credentials MD
Telephone Number 4142810400

NPI Number Detail

NPI Number 1114020633
Provider Enumeration Date 2006-09-07
Last Updated Date 2012-03-26

Provider Mailing Address Detail

Address 4666 S 35th St
City Greenfield
State Wisconsin (WI)
Post Code 53221
Phone Number 4142810400
Fax Number 4142810402

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 19332020
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
309677 WI --

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FAQs about S T Sy Md Sc

What is the unique 10-digit identifier code issued to S T Sy Md Sc by the Centers for Medicare & Medicaid Services?

The S T Sy Md Sc has been assigned the NPI (National Provider Identifier) 1114020633 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 street address where S T Sy Md Sc is physically located?

The S T Sy Md Sc is physically situated at the following address: 4666 S 35Th St, Greenfield, WI, 53221.

What is the S T Sy Md Sc's area of specialization and corresponding taxonomy classification?

The S T Sy Md Sc's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.

On what date did S T Sy Md Sc receive its 1114020633 assignment from the Centers for Medicare & Medicaid Services?

The S T Sy Md Sc was assigned its 1114020633 on 2006-09-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to S T Sy Md Sc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to S T Sy Md Sc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-03-26.

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