Theodore D. Fifer in Effingham - Surgery Of The Hand
Theodore D. Fifer - NPI 1508034596
Theodore D. Fifer is a Surgery Of The Hand in Effingham, Illinois. Theodore D. Fifer practices all healthcare services and medical treatments related to Surgery Of The Hand. The NPI Number for Theodore D. Fifer is 1508034596. The last update date is 2012-12-12.
Theodore D. Fifer's current location address is 14900 N Court 9, Effingham, Illinois. You can contact this provider via phone number 2179946162 and fax number 2173427094. The mailing address for Theodore D. Fifer is 14900 N Court 9, Effingham, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore D. Fifer |
|---|---|
| Address | 14900 N Court 9, Effingham, Illinois |
| Phone Number | 2179946162 |
| Fax Number | 2173427094 |
| Sole Proprietor | Y |
| Credentials | M.D. FACS |
NPI Number Detail
| NPI Number | 1508034596 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2012-12-12 |
Provider Mailing Address Detail
| Address | 14900 N Court 9 |
|---|---|
| City | Effingham |
| State | Illinois (IL) |
| Post Code | 624017640 |
| Phone Number | 2179946162 |
| Fax Number | 2173427094 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery Of The Hand |
|---|---|
| Taxonomy | 2082S0105X |
| Licence No | 36084136 |
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Definition: A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036-084136 | IL | -- | |
| 025-00076 | IL | BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Theodore D. Fifer by the Centers for Medicare & Medicaid Services?
The Theodore D. Fifer has been issued the NPI (National Provider Identifier) 1508034596. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Theodore D. Fifer is physically located?
The Theodore D. Fifer is physically situated at the following address: 14900 N Court 9, Effingham, IL, 624017640.
What is Theodore D. Fifer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theodore D. Fifer's area of specialization is Surgery Of The Hand, and the corresponding taxonomy code that categorizes this field of practice is 2082S0105X.
When was the Theodore D. Fifer's 1508034596 issued?
The Theodore D. Fifer's 1508034596 was issued on 2008-02-13.
When was the Theodore D. Fifer's information last updated?
The Theodore D. Fifer's information was last updated on 2012-12-12.