Paul Thurdekoos is a Surgery in Johnson City, Tennessee. Paul Thurdekoos practices all healthcare services and medical treatments related to Surgery. The NPI Number for Paul Thurdekoos is 1437145687. The last update date is 2012-06-06.
Paul Thurdekoos's current location address is 3 Professional Park Dr, Johnson City, Tennessee. You can contact this provider via phone number 4239755650 and fax number 4239755652. The mailing address for Paul Thurdekoos is 3 Professional Park Dr, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Thurdekoos |
|---|---|
| Address | 3 Professional Park Dr, Johnson City, Tennessee |
| Phone Number | 4239755650 |
| Fax Number | 4239755652 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1437145687 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2012-06-06 |
Provider Mailing Address Detail
| Address | 3 Professional Park Dr |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376046529 |
| Phone Number | 4239755650 |
| Fax Number | 4239755652 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD12981 |
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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 |
|---|---|---|---|
| 3184779 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Paul Thurdekoos by the Centers for Medicare & Medicaid Services (CMS)?
The Paul Thurdekoos has been assigned the NPI (National Provider Identifier) 1437145687. 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 Paul Thurdekoos is physically located?
The Paul Thurdekoos is physically situated at the following address: 3 Professional Park Dr, Johnson City, TN, 376046529.
What is the Paul Thurdekoos's specialty and taxonomy code?
The Paul Thurdekoos's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1437145687 to Paul Thurdekoos?
The Paul Thurdekoos received its 1437145687 assignment from the Centers for Medicare & Medicaid Services on 2005-09-23.
When was the information regarding Paul Thurdekoos most recently updated?
The details pertaining to the Paul Thurdekoos, including its address, specialty, and other relevant information, were last refreshed on 2012-06-06.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN