Yancy S Short in Fayetteville - Surgery

Yancy S Short - NPI 1265429831

Yancy S Short is a Surgery in Fayetteville, . Yancy S Short practices all healthcare services and medical treatments related to Surgery. The NPI Number for Yancy S Short is 1265429831. The last update date is 2020-09-17.

Yancy S Short's current location address is 211 W Maple Ave Ste A, Fayetteville, . You can contact this provider via phone number 3049005511 and fax number 3049005558. The mailing address for Yancy S Short is 211 W Maple Ave Ste A, Fayetteville, . To know further, please read the information below!

Provider Profile Detail

Provider Name Yancy S Short
Address 211 W Maple Ave Ste A, Fayetteville,
Phone Number 3049005511
Fax Number 3049005558
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1265429831
Provider Enumeration Date 2005-09-29
Last Updated Date 2020-09-17

Provider Mailing Address Detail

Address 211 W Maple Ave Ste A
City Fayetteville
State (WV)
Post Code 258401445
Phone Number 3049005511
Fax Number 3049005558

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 16555
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4522000 WV --
P01600108 WV MEDICARE RAILROAD

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FAQs about Yancy S Short

What is the Yancy S Short's unique identification number?

The Yancy S Short has been assigned the NPI (National Provider Identifier) Number 1265429831 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Yancy S Short is located?

The Yancy S Short is situated at the following address: 211 W Maple Ave Ste A, Fayetteville, WV, 258401445.

What is Yancy S Short's area of expertise and its corresponding taxonomy classification?

The Yancy S Short's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1265429831 to Yancy S Short?

The Centers for Medicare & Medicaid Services assigned the 1265429831 to Yancy S Short on 2005-09-29.

When was the information regarding Yancy S Short, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Yancy S Short, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-17.

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