Jonathan Gordon Wash in Waco - Foot & Ankle Surgery

Jonathan Gordon Wash - NPI 1003899972

Jonathan Gordon Wash is a Foot & Ankle Surgery in Waco, Texas. Jonathan Gordon Wash practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jonathan Gordon Wash is 1003899972. The last update date is 2015-08-26.

Jonathan Gordon Wash's current location address is 5100 Franklin Ave, Waco, Texas. You can contact this provider via phone number 2547411824 and fax number 2547542667. The mailing address for Jonathan Gordon Wash is 5100 Franklin Ave, Waco, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Gordon Wash
Address 5100 Franklin Ave, Waco, Texas
Phone Number 2547411824
Fax Number 2547542667
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1003899972
Provider Enumeration Date 2005-11-23
Last Updated Date 2015-08-26

Provider Mailing Address Detail

Address 5100 Franklin Ave
City Waco
State Texas (TX)
Post Code 767106922
Phone Number 2547411824
Fax Number 2547542667

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 1750
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
178106401 TX --

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FAQs about Jonathan Gordon Wash

What is the unique identifier code issued to Jonathan Gordon Wash by the Centers for Medicare & Medicaid Services?

The Jonathan Gordon Wash has been assigned the NPI (National Provider Identifier) 1003899972. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jonathan Gordon Wash is geographically located?

The Jonathan Gordon Wash is physically situated at the following location: 5100 Franklin Ave, Waco, TX, 767106922.

What is Jonathan Gordon Wash's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jonathan Gordon Wash is Foot & Ankle Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0103X.

On what date did the Jonathan Gordon Wash receive its 1003899972 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan Gordon Wash was assigned its 1003899972 by the Centers for Medicare & Medicaid Services on 2005-11-23.

When was the information regarding Jonathan Gordon Wash most recently updated?

The details pertaining to the Jonathan Gordon Wash, including its address, specialty, and other relevant information, were last refreshed on 2015-08-26.

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