Bo Tyler Headlam in Portsmouth - Pain Medicine
Bo Tyler Headlam - NPI 1619939246
Bo Tyler Headlam is a Pain Medicine in Portsmouth, Ohio. Bo Tyler Headlam practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Bo Tyler Headlam is 1619939246. The last update date is 2017-02-10.
Bo Tyler Headlam's current location address is 1735 27th St, Portsmouth, Ohio. You can contact this provider via phone number 7403566808 and fax number 7403566826. The mailing address for Bo Tyler Headlam is 1735 27th St, Portsmouth, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bo Tyler Headlam |
|---|---|
| Address | 1735 27th St, Portsmouth, Ohio |
| Phone Number | 7403566808 |
| Fax Number | 7403566826 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619939246 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2017-02-10 |
Provider Mailing Address Detail
| Address | 1735 27th St |
|---|---|
| City | Portsmouth |
| State | Ohio (OH) |
| Post Code | 456622677 |
| Phone Number | 7403566808 |
| Fax Number | 7403566826 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | 25588 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4632039 | IL | BCBS GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Bo Tyler Headlam by the Centers for Medicare & Medicaid Services (CMS)?
The Bo Tyler Headlam has been assigned the NPI (National Provider Identifier) 1619939246. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Bo Tyler Headlam is physically located?
The Bo Tyler Headlam is physically situated at the following address: 1735 27Th St, Portsmouth, OH, 456622677.
What is the Bo Tyler Headlam's area of specialization and corresponding taxonomy classification?
The Bo Tyler Headlam's specialty field is Pain Medicine, and it falls under the taxonomy code 2081P2900X, which categorizes healthcare providers based on their specialties.
On what date did the Bo Tyler Headlam receive the assignment of its 1619939246 from the Centers for Medicare & Medicaid Services?
The Bo Tyler Headlam was issued its 1619939246 by the Centers for Medicare & Medicaid Services on 2006-04-06.
As of what date were the Bo Tyler Headlam's details last updated?
The information pertaining to the Bo Tyler Headlam, including its address, specialty, and other details, was most recently updated on 2017-02-10.