Russell Raymond Jaicks in Kissimmee - Surgery
Russell Raymond Jaicks - NPI 1184727414
Russell Raymond Jaicks is a Surgery in Kissimmee, Florida. Russell Raymond Jaicks practices all healthcare services and medical treatments related to Surgery. The NPI Number for Russell Raymond Jaicks is 1184727414. The last update date is 2013-04-18.
Russell Raymond Jaicks's current location address is 720 W Oak St, Kissimmee, Florida. You can contact this provider via phone number 4078463166. The mailing address for Russell Raymond Jaicks is 720 W Oak St, Kissimmee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Raymond Jaicks |
|---|---|
| Address | 720 W Oak St, Kissimmee, Florida |
| Phone Number | 4078463166 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184727414 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2013-04-18 |
Provider Mailing Address Detail
| Address | 720 W Oak St |
|---|---|
| City | Kissimmee |
| State | Florida (FL) |
| Post Code | 347414989 |
| Phone Number | 4078463166 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | ME113621 |
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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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28788834 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Russell Raymond Jaicks by the Centers for Medicare & Medicaid Services?
The Russell Raymond Jaicks has been assigned the NPI (National Provider Identifier) 1184727414. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Russell Raymond Jaicks's physical address?
The Russell Raymond Jaicks is physically located at 720 W Oak St, in the city of Kissimmee, FL, with the postal code 347414989.
What is the area of specialization for Russell Raymond Jaicks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell Raymond Jaicks is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
When did Russell Raymond Jaicks receive its 1184727414 assignment?
The Russell Raymond Jaicks was assigned its 1184727414 on 2006-09-05, which is the date when this unique identifier was issued to the organization.
As of what date were the Russell Raymond Jaicks's details last updated?
The information pertaining to the Russell Raymond Jaicks, including its address, specialty, and other details, was most recently updated on 2013-04-18.