Douglas L Jicha in Scarborough - Vascular Surgery
Douglas L Jicha - NPI 1306879325
Douglas L Jicha is a Vascular Surgery in Scarborough, Maine. Douglas L Jicha practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Douglas L Jicha is 1306879325. The last update date is 2021-11-03.
Douglas L Jicha's current location address is 306 Us Route 1, Scarborough, Maine. You can contact this provider via phone number 2078855742 and fax number 2078851494. The mailing address for Douglas L Jicha is 306 Us Route 1, Scarborough, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas L Jicha |
|---|---|
| Address | 306 Us Route 1, Scarborough, Maine |
| Phone Number | 2078855742 |
| Fax Number | 2078851494 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306879325 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2021-11-03 |
Provider Mailing Address Detail
| Address | 306 Us Route 1 |
|---|---|
| City | Scarborough |
| State | Maine (ME) |
| Post Code | 4074 |
| Phone Number | 2078855742 |
| Fax Number | 2078851494 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 6810 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 132540000 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Douglas L Jicha by the Centers for Medicare & Medicaid Services?
The Douglas L Jicha has been assigned the NPI (National Provider Identifier) 1306879325 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Douglas L Jicha is geographically located?
The Douglas L Jicha is physically situated at the following location: 306 Us Route 1, Scarborough, ME, 4074.
What is the area of specialization for Douglas L Jicha, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas L Jicha is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
When did Douglas L Jicha receive its 1306879325 assignment?
The Douglas L Jicha was assigned its 1306879325 on 2006-07-10, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Douglas L Jicha most recently updated or revised?
The details related to Douglas L Jicha, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-03.