Patrice M Thibodeau in Evergreen - Adolescent Medicine
Patrice M Thibodeau - NPI 1902992308
Patrice M Thibodeau is a Adolescent Medicine in Evergreen, Colorado. Patrice M Thibodeau practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Patrice M Thibodeau is 1902992308. The last update date is 2015-01-15.
Patrice M Thibodeau's current location address is 28000 Meadow Dr Unit 210, Evergreen, Colorado. You can contact this provider via phone number 3036798500 and fax number 3036798505. The mailing address for Patrice M Thibodeau is 28000 Meadow Dr Unit 210, Evergreen, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice M Thibodeau |
|---|---|
| Address | 28000 Meadow Dr Unit 210, Evergreen, Colorado |
| Phone Number | 3036798500 |
| Fax Number | 3036798505 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902992308 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2015-01-15 |
Provider Mailing Address Detail
| Address | 28000 Meadow Dr Unit 210 |
|---|---|
| City | Evergreen |
| State | Colorado (CO) |
| Post Code | 804392116 |
| Phone Number | 3036798500 |
| Fax Number | 3036798505 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | DR.0054626 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C544638 | CO | EMPLOYER PTAN | |
| 378538YY4G | CO | PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Patrice M Thibodeau by the Centers for Medicare & Medicaid Services?
The Patrice M Thibodeau has been assigned the NPI (National Provider Identifier) 1902992308 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 physical location address of Patrice M Thibodeau?
The Patrice M Thibodeau is physically situated at 28000 Meadow Dr Unit 210, in the city of Evergreen, state of CO, with the postal code 804392116.
What is the Patrice M Thibodeau's area of specialization and corresponding taxonomy classification?
The Patrice M Thibodeau's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1902992308 to Patrice M Thibodeau?
The Centers for Medicare & Medicaid Services assigned the 1902992308 to Patrice M Thibodeau on 2006-10-04.
As of what date was the information regarding Patrice M Thibodeau, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Patrice M Thibodeau, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-15.