Shad Outsen in Provo - Pediatric Critical Care Medicine
Shad Outsen - NPI 1487815536
Shad Outsen is a Pediatric Critical Care Medicine in Provo, Utah. Shad Outsen practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Shad Outsen is 1487815536. The last update date is 2022-04-25.
Shad Outsen's current location address is 1034 N 500 W, Provo, Utah. You can contact this provider via phone number 8013577481. The mailing address for Shad Outsen is 1034 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shad Outsen |
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Address | 1034 N 500 W, Provo, Utah |
Phone Number | 8013577481 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1487815536 |
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Provider Enumeration Date | 2008-06-21 |
Last Updated Date | 2022-04-25 |
Provider Mailing Address Detail
Address | 1034 N 500 W |
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City | Provo |
State | Utah (UT) |
Post Code | 846043380 |
Phone Number | 8013577481 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Critical Care Medicine |
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Taxonomy | 2080P0203X |
Licence No | 7365706-1205 |
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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What is the unique identifier code issued to Shad Outsen by the Centers for Medicare & Medicaid Services?
The Shad Outsen has been assigned the NPI (National Provider Identifier) 1487815536. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shad Outsen is geographically located?
The Shad Outsen is physically situated at the following location: 1034 N 500 W, Provo, UT, 846043380.
What is Shad Outsen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shad Outsen is Pediatric Critical Care Medicine, and the taxonomy code that categorizes this field of expertise is 2080P0203X.
When was the Shad Outsen's 1487815536 issued?
The Shad Outsen's 1487815536 was issued on 2008-06-21.
As of what date were the details pertaining to Shad Outsen last refreshed?
The information related to the Shad Outsen, including its address, specialty, and other relevant details, was last updated on 2022-04-25.