Jack Deleonardo in Phoenix - Physician Assistant
Jack Deleonardo - NPI 1417068248
Jack Deleonardo is a Physician Assistant in Phoenix, Arizona. Jack Deleonardo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jack Deleonardo is 1417068248. The last update date is 2016-11-02.
Jack Deleonardo's current location address is 650 E Indian School Rd, Phoenix, Arizona. You can contact this provider via phone number 6022775551. The mailing address for Jack Deleonardo is 650 E Indian School Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Deleonardo |
|---|---|
| Address | 650 E Indian School Rd, Phoenix, Arizona |
| Phone Number | 6022775551 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1417068248 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2016-11-02 |
Provider Mailing Address Detail
| Address | 650 E Indian School Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85012 |
| Phone Number | 6022775551 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 196 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 433296 | MT | MDCD PIN | |
| 92303 | MT | BCBS PIN | |
| 12355900 | WY | MDCD PIN |
Post Comment/ Review Below
What is the unique identification code assigned to Jack Deleonardo by the Centers for Medicare & Medicaid Services?
The Jack Deleonardo has been issued the NPI (National Provider Identifier) 1417068248. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack Deleonardo is located?
The Jack Deleonardo is situated at the following address: 650 E Indian School Rd, Phoenix, AZ, 85012.
What is Jack Deleonardo'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 Jack Deleonardo is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Jack Deleonardo receive its 1417068248 assignment from the Centers for Medicare & Medicaid Services?
The Jack Deleonardo was assigned its 1417068248 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1417068248 to Jack Deleonardo?
The Centers for Medicare & Medicaid Services assigned the 1417068248 to Jack Deleonardo on 2006-08-31.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX