Ivan Fomitchev in San Antonio - Pain Medicine
Ivan Fomitchev - NPI 1699742312
Ivan Fomitchev is a Pain Medicine in San Antonio, Texas. Ivan Fomitchev practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Ivan Fomitchev is 1699742312. The last update date is 2021-05-19.
Ivan Fomitchev's current location address is 8711 Wales Reserve, San Antonio, Texas. You can contact this provider via phone number 5635641283. The mailing address for Ivan Fomitchev is 8711 Wales Reserve, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Fomitchev |
|---|---|
| Address | 8711 Wales Reserve, San Antonio, Texas |
| Phone Number | 5635641283 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699742312 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2021-05-19 |
Provider Mailing Address Detail
| Address | 8711 Wales Reserve |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782553371 |
| Phone Number | 5635641283 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 208Vp0000X |
| Licence No | 34875 |
|
Definition: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 274506 | IA | -- | |
| 34312600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ivan Fomitchev by the Centers for Medicare & Medicaid Services?
The Ivan Fomitchev has been assigned the NPI (National Provider Identifier) 1699742312 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ivan Fomitchev is geographically located?
The Ivan Fomitchev is physically situated at the following location: 8711 Wales Reserve, San Antonio, TX, 782553371.
What is Ivan Fomitchev's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ivan Fomitchev is Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 208Vp0000X.
On what date was the 1699742312 assigned to Ivan Fomitchev?
The Ivan Fomitchev was issued its 1699742312 on 2006-03-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ivan Fomitchev, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ivan Fomitchev, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-05-19.