Jamison Derek Feramisco in Canyon Lake - General Practice
Jamison Derek Feramisco - NPI 1043410871
Jamison Derek Feramisco is a General Practice in Canyon Lake, California. Jamison Derek Feramisco practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jamison Derek Feramisco is 1043410871. The last update date is 2023-03-30.
Jamison Derek Feramisco's current location address is 31566 Railroad Canyon Road, Canyon Lake, California. You can contact this provider via phone number 8778709301 and fax number 8778820462. The mailing address for Jamison Derek Feramisco is 31566 Railroad Canyon Road, Canyon Lake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamison Derek Feramisco |
|---|---|
| Address | 31566 Railroad Canyon Road, Canyon Lake, California |
| Phone Number | 8778709301 |
| Fax Number | 8778820462 |
| Sole Proprietor | N |
| Credentials | MD, PHD |
NPI Number Detail
| NPI Number | 1043410871 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2023-03-30 |
Provider Mailing Address Detail
| Address | 31566 Railroad Canyon Road |
|---|---|
| City | Canyon Lake |
| State | California (CA) |
| Post Code | 925879446 |
| Phone Number | 8778709301 |
| Fax Number | 8778820462 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | ME156058 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the Jamison Derek Feramisco's unique identification number?
The Jamison Derek Feramisco has been assigned the NPI (National Provider Identifier) Number 1043410871 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jamison Derek Feramisco?
The Jamison Derek Feramisco is physically situated at 31566 Railroad Canyon Road, in the city of Canyon Lake, state of CA, with the postal code 925879446.
What is Jamison Derek Feramisco's area of expertise and its corresponding taxonomy classification?
The Jamison Derek Feramisco's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jamison Derek Feramisco receive its 1043410871 assignment from the Centers for Medicare & Medicaid Services?
The Jamison Derek Feramisco was assigned its 1043410871 on 2007-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jamison Derek Feramisco most recently updated or refreshed?
The details pertaining to the Jamison Derek Feramisco, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-30.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC