Jason Wagnon is a Pediatrics in Hot Springs, Arkansas. Jason Wagnon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jason Wagnon is 1639285265. The last update date is 2023-07-19.
Jason Wagnon's current location address is 5500 Central Ave Ste A, Hot Springs, Arkansas. You can contact this provider via phone number 5017014339 and fax number 5017014246. The mailing address for Jason Wagnon is 5500 Central Ave Ste A, Hot Springs, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jason Wagnon |
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Address | 5500 Central Ave Ste A, Hot Springs, Arkansas |
Phone Number | 5017014339 |
Fax Number | 5017014246 |
Sole Proprietor | N |
Credentials | PT, DPT |
NPI Number Detail
NPI Number | 1639285265 |
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Provider Enumeration Date | 2006-08-23 |
Last Updated Date | 2023-07-19 |
Provider Mailing Address Detail
Address | 5500 Central Ave Ste A |
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City | Hot Springs |
State | Arkansas (AR) |
Post Code | 719139712 |
Phone Number | 5017014339 |
Fax Number | 5017014246 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | PT2449 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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141072721 | AR | -- |
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What is the unique 10-digit identification code issued to Jason Wagnon by the Centers for Medicare & Medicaid Services?
The Jason Wagnon has been assigned the NPI (National Provider Identifier) 1639285265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jason Wagnon?
The Jason Wagnon is situated at 5500 Central Ave Ste A, in the city of Hot Springs, state of AR, with the zip code 719139712.
What is Jason Wagnon'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 Jason Wagnon is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 2251P0200X.
When did Jason Wagnon receive its 1639285265 assignment?
The Jason Wagnon was assigned its 1639285265 on 2006-08-23, which is the date when this unique identifier was issued to the organization.
As of what date were the Jason Wagnon's details last updated?
The information pertaining to the Jason Wagnon, including its address, specialty, and other details, was most recently updated on 2023-07-19.