Mark Andrew Jagodzinski in Surprise - Geriatrics
Mark Andrew Jagodzinski - NPI 1891732467
Mark Andrew Jagodzinski is a Geriatrics in Surprise, Arizona. Mark Andrew Jagodzinski practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Mark Andrew Jagodzinski is 1891732467. The last update date is 2023-01-17.
Mark Andrew Jagodzinski's current location address is 12515 W Bell Rd Ste 103, Surprise, Arizona. You can contact this provider via phone number 6232344171 and fax number 6232344173. The mailing address for Mark Andrew Jagodzinski is 12515 W Bell Rd Ste 103, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Andrew Jagodzinski |
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Address | 12515 W Bell Rd Ste 103, Surprise, Arizona |
Phone Number | 6232344171 |
Fax Number | 6232344173 |
Sole Proprietor | Y |
Credentials | PT |
NPI Number Detail
NPI Number | 1891732467 |
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Provider Enumeration Date | 2006-06-01 |
Last Updated Date | 2023-01-17 |
Provider Mailing Address Detail
Address | 12515 W Bell Rd Ste 103 |
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City | Surprise |
State | Arizona (AZ) |
Post Code | 853789701 |
Phone Number | 6232344171 |
Fax Number | 6232344173 |
Provider's Primary Taxonomy Detail
Speciality | Geriatrics |
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Taxonomy | 2251G0304X |
Licence No | 5576 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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738792 | AZ | -- |
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What is the unique 10-digit identification code assigned to Mark Andrew Jagodzinski by the Centers for Medicare & Medicaid Services?
The Mark Andrew Jagodzinski has been issued the NPI (National Provider Identifier) 1891732467, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Andrew Jagodzinski?
The Mark Andrew Jagodzinski is situated at 12515 W Bell Rd Ste 103, in the city of Surprise, state of AZ, with the zip code 853789701.
What is the Mark Andrew Jagodzinski's area of specialization and corresponding taxonomy classification?
The Mark Andrew Jagodzinski's specialty field is Geriatrics, and it falls under the taxonomy code 2251G0304X, which categorizes healthcare providers based on their specialties.
On what date was the 1891732467 assigned to Mark Andrew Jagodzinski?
The Mark Andrew Jagodzinski was issued its 1891732467 on 2006-06-01, 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 Mark Andrew Jagodzinski most recently updated?
The details pertaining to the Mark Andrew Jagodzinski, including its address, specialty, and other relevant information, were last refreshed on 2023-01-17.