Timothy Antonio Jessie in Las Vegas - Surgery
Timothy Antonio Jessie - NPI 1679573034
Timothy Antonio Jessie is a Surgery in Las Vegas, New Mexico. Timothy Antonio Jessie practices all healthcare services and medical treatments related to Surgery. The NPI Number for Timothy Antonio Jessie is 1679573034. The last update date is 2023-06-13.
Timothy Antonio Jessie's current location address is 105 Mills Ave Ste 200, Las Vegas, New Mexico. You can contact this provider via phone number 5054263795 and fax number 5054252653. The mailing address for Timothy Antonio Jessie is 105 Mills Ave Ste 200, Las Vegas, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Antonio Jessie |
|---|---|
| Address | 105 Mills Ave Ste 200, Las Vegas, New Mexico |
| Phone Number | 5054263795 |
| Fax Number | 5054252653 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679573034 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2023-06-13 |
Provider Mailing Address Detail
| Address | 105 Mills Ave Ste 200 |
|---|---|
| City | Las Vegas |
| State | New Mexico (NM) |
| Post Code | 877014169 |
| Phone Number | 5054263795 |
| Fax Number | 5054252653 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 200501327 |
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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 |
|---|---|---|---|
| 2501902 | OH | -- | |
| 69777233 | NM | -- | |
| 24-46612 | OH | UHC | |
| P00144471 | OH | RRMC |
Post Comment/ Review Below
What is the Timothy Antonio Jessie's unique identification number?
The Timothy Antonio Jessie has been assigned the NPI (National Provider Identifier) Number 1679573034 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Timothy Antonio Jessie?
The Timothy Antonio Jessie is physically situated at 105 Mills Ave Ste 200, in the city of Las Vegas, state of NM, with the postal code 877014169.
What is Timothy Antonio Jessie's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy Antonio Jessie's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679573034 to Timothy Antonio Jessie?
The Centers for Medicare & Medicaid Services originally issued the 1679573034 to Timothy Antonio Jessie on 2005-07-28.
When was the Timothy Antonio Jessie's information last updated?
The Timothy Antonio Jessie's information was last updated on 2023-06-13.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY