Scott Alan Blickensderfer in South Bend - Urology
Scott Alan Blickensderfer - NPI 1578568572
Scott Alan Blickensderfer is a Urology in South Bend, Indiana. Scott Alan Blickensderfer practices all healthcare services and medical treatments related to Urology. The NPI Number for Scott Alan Blickensderfer is 1578568572. The last update date is 2014-03-06.
Scott Alan Blickensderfer's current location address is 6301 University Commons, South Bend, Indiana. You can contact this provider via phone number 5742512100 and fax number 5742512151. The mailing address for Scott Alan Blickensderfer is 6301 University Commons, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Alan Blickensderfer |
|---|---|
| Address | 6301 University Commons, South Bend, Indiana |
| Phone Number | 5742512100 |
| Fax Number | 5742512151 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1578568572 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2014-03-06 |
Provider Mailing Address Detail
| Address | 6301 University Commons |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 4663515710 |
| Phone Number | 5742512100 |
| Fax Number | 5742512151 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 02001398A |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 234054 | ANTHEM | ||
| 264180V | IN | MEDICARE PTAN | |
| 100093110 | IN | -- |
Post Comment/ Review Below
What is the Scott Alan Blickensderfer's 1578568572?
The Scott Alan Blickensderfer's NPI (National Provider Identifier) Number is 1578568572. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Scott Alan Blickensderfer is geographically located?
The Scott Alan Blickensderfer is physically situated at the following location: 6301 University Commons, South Bend, IN, 4663515710.
What is Scott Alan Blickensderfer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Scott Alan Blickensderfer is Urology, and the taxonomy code that classifies this field of practice is 208800000X.
When was the Scott Alan Blickensderfer's 1578568572 issued?
The Scott Alan Blickensderfer's 1578568572 was issued on 2005-06-16.
When was the Scott Alan Blickensderfer's information last updated?
The Scott Alan Blickensderfer's information was last updated on 2014-03-06.