Jon V. Schellack, M.D. (A Professional Medical Corporation) in Baton Rouge - Vascular Surgery
Jon V. Schellack, M.D. (A Professional Medical Corporation) - NPI 1174624712
Jon V. Schellack, M.D. (A Professional Medical Corporation) is a Vascular Surgery in Baton Rouge, Louisiana. Jon V. Schellack, M.D. (A Professional Medical Corporation) practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jon V. Schellack, M.D. (A Professional Medical Corporation) is 1174624712. The last update date is 2020-08-22.
Jon V. Schellack, M.D. (A Professional Medical Corporation)'s current location address is 5425 Brittany Dr # B, Baton Rouge, Louisiana. You can contact this provider via phone number 2257675479 and fax number 2257675147. The mailing address for Jon V. Schellack, M.D. (A Professional Medical Corporation) is 5425 Brittany Dr # B, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jon V. Schellack, M.D. (A Professional Medical Corporation) |
|---|---|
| Address | 5425 Brittany Dr # B, Baton Rouge, Louisiana |
| Phone Number | 2257675479 |
| Fax Number | 2257675147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schellack V Jon |
| Credentials | M.D. |
| Telephone Number | 2257675479 |
NPI Number Detail
| NPI Number | 1174624712 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5425 Brittany Dr # B |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708089144 |
| Phone Number | 2257675479 |
| Fax Number | 2257675147 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1446564 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jon V. Schellack, M.D. (A Professional Medical Corporation) by the Centers for Medicare & Medicaid Services?
The Jon V. Schellack, M.D. (A Professional Medical Corporation) has been issued the NPI (National Provider Identifier) 1174624712 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jon V. Schellack, M.D. (A Professional Medical Corporation)'s facilities are geographically located?
The facilities of Jon V. Schellack, M.D. (A Professional Medical Corporation) are physically situated at the following location: 5425 Brittany Dr # B, Baton Rouge, LA, 708089144.
What is Jon V. Schellack, M.D. (A Professional Medical Corporation)'s area of expertise and its corresponding taxonomy classification?
The Jon V. Schellack, M.D. (A Professional Medical Corporation)'s field of specialization is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jon V. Schellack, M.D. (A Professional Medical Corporation) receive the assignment of its 1174624712 from the Centers for Medicare & Medicaid Services?
The Jon V. Schellack, M.D. (A Professional Medical Corporation) was issued its 1174624712 by the Centers for Medicare & Medicaid Services on 2006-09-26.
As of what date was the information regarding Jon V. Schellack, M.D. (A Professional Medical Corporation), such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jon V. Schellack, M.D. (A Professional Medical Corporation), including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.