Jae-O Bae is a Pediatric Surgery in Phoenix, Arizona. Jae-O Bae practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Jae-O Bae is 1710196019. The last update date is 2018-01-23.
Jae-O Bae's current location address is 3200 E Camelback Rd Ste 250, Phoenix, Arizona. You can contact this provider via phone number 6029331813 and fax number 6029331820. The mailing address for Jae-O Bae is 3200 E Camelback Rd Ste 250, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae-O Bae |
|---|---|
| Address | 3200 E Camelback Rd Ste 250, Phoenix, Arizona |
| Phone Number | 6029331813 |
| Fax Number | 6029331820 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710196019 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2018-01-23 |
Provider Mailing Address Detail
| Address | 3200 E Camelback Rd Ste 250 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850182327 |
| Phone Number | 6029331813 |
| Fax Number | 6029331820 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 42085 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 430210 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jae-O Bae?
The Jae-O Bae has been issued the NPI (National Provider Identifier) 1710196019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jae-O Bae is physically located?
The Jae-O Bae is situated at the following address: 3200 E Camelback Rd Ste 250, Phoenix, AZ 850182327.
What is the area of specialization for Jae-O Bae, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jae-O Bae is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710196019 to Jae-O Bae?
The Centers for Medicare & Medicaid Services assigned the 1710196019 to Jae-O Bae on 2007-05-22.
When was the information related to Jae-O Bae most recently updated or refreshed?
The details pertaining to the Jae-O Bae, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-01-23.