Thresiamma Augustine Joseph in Shoreview - Adolescent Medicine
Thresiamma Augustine Joseph - NPI 1144214107
Thresiamma Augustine Joseph is a Adolescent Medicine in Shoreview, Minnesota. Thresiamma Augustine Joseph practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Thresiamma Augustine Joseph is 1144214107. The last update date is 2007-07-08.
Thresiamma Augustine Joseph's current location address is 3585 Lexington Ave N, Shoreview, Minnesota. You can contact this provider via phone number 6514843942 and fax number 6517870519. The mailing address for Thresiamma Augustine Joseph is 3585 Lexington Ave N, Shoreview, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thresiamma Augustine Joseph |
|---|---|
| Address | 3585 Lexington Ave N, Shoreview, Minnesota |
| Phone Number | 6514843942 |
| Fax Number | 6517870519 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144214107 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3585 Lexington Ave N |
|---|---|
| City | Shoreview |
| State | Minnesota (MN) |
| Post Code | 551268064 |
| Phone Number | 6514843942 |
| Fax Number | 6517870519 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 32036 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1201379 | MN | MEDICA | |
| 299L3J0 | MN | BLUE CROSS BLUE SHEILD | |
| CP9090199004 | MN | PREFERRED ONE | |
| 1203070 | MN | MEDICA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Thresiamma Augustine Joseph?
The Thresiamma Augustine Joseph has been issued the NPI (National Provider Identifier) 1144214107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Thresiamma Augustine Joseph's facilities are geographically located?
The facilities of Thresiamma Augustine Joseph are physically situated at the following location: 3585 Lexington Ave N, Shoreview, MN, 551268064.
What is Thresiamma Augustine Joseph's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thresiamma Augustine Joseph's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
When did Thresiamma Augustine Joseph receive its 1144214107 assignment?
The Thresiamma Augustine Joseph was assigned its 1144214107 on 2005-09-07, which is the date when this unique identifier was issued to the organization.
When was the Thresiamma Augustine Joseph's information last updated?
The Thresiamma Augustine Joseph's information was last updated on 2007-07-08.