Ruth D Mayforth in Springfield - Pediatric Surgery

Ruth D Mayforth - NPI 1184610255

Ruth D Mayforth is a Pediatric Surgery in Springfield, Illinois. Ruth D Mayforth practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Ruth D Mayforth is 1184610255. The last update date is 2010-07-20.

Ruth D Mayforth's current location address is Po Box 19655, Springfield, Illinois. You can contact this provider via phone number 2175450702 and fax number 2175457305. The mailing address for Ruth D Mayforth is Po Box 19655, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ruth D Mayforth
Address Po Box 19655, Springfield, Illinois
Phone Number 2175450702
Fax Number 2175457305
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1184610255
Provider Enumeration Date 2005-09-23
Last Updated Date 2010-07-20

Provider Mailing Address Detail

Address Po Box 19655
City Springfield
State Illinois (IL)
Post Code 627949655
Phone Number 2175450702
Fax Number 2175457305

Provider's Primary Taxonomy Detail

Speciality Pediatric Surgery
Taxonomy 2086S0120X
Licence No 36105117
Definition:
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36105117 IL --

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FAQs about Ruth D Mayforth

What is the Ruth D Mayforth's 1184610255?

The Ruth D Mayforth's NPI (National Provider Identifier) Number is 1184610255. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Ruth D Mayforth is physically located?

The Ruth D Mayforth is physically situated at the following address: Po Box 19655, Springfield, IL, 627949655.

What is the Ruth D Mayforth's area of specialization and corresponding taxonomy classification?

The Ruth D Mayforth's specialty field is Pediatric Surgery, and it falls under the taxonomy code 2086S0120X, which categorizes healthcare providers based on their specialties.

On what date did the Ruth D Mayforth receive its 1184610255 assignment from the Centers for Medicare & Medicaid Services?

The Ruth D Mayforth was assigned its 1184610255 by the Centers for Medicare & Medicaid Services on 2005-09-23.

As of what date was the information regarding Ruth D Mayforth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ruth D Mayforth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-07-20.

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