Tracy Helen Hydorn in Marina - Physician Assistant
Tracy Helen Hydorn - NPI 1134118573
Tracy Helen Hydorn is a Physician Assistant in Marina, California. Tracy Helen Hydorn practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Helen Hydorn is 1134118573. The last update date is 2019-12-03.
Tracy Helen Hydorn's current location address is 201 9th St, Marina, California. You can contact this provider via phone number 8318841172 and fax number 8318841033. The mailing address for Tracy Helen Hydorn is 201 9th St, Marina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Helen Hydorn |
|---|---|
| Address | 201 9th St, Marina, California |
| Phone Number | 8318841172 |
| Fax Number | 8318841033 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1134118573 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2019-12-03 |
Provider Mailing Address Detail
| Address | 201 9th St |
|---|---|
| City | Marina |
| State | California (CA) |
| Post Code | 939336039 |
| Phone Number | 8318841172 |
| Fax Number | 8318841033 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 13055 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970008050 | CA | RAILROAD MEDICARE | |
| PA13055 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tracy Helen Hydorn by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy Helen Hydorn has been assigned the NPI (National Provider Identifier) 1134118573. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Tracy Helen Hydorn is physically located?
The Tracy Helen Hydorn is situated at the following address: 201 9Th St, Marina, CA 939336039.
What is Tracy Helen Hydorn'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 Tracy Helen Hydorn is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134118573 to Tracy Helen Hydorn?
The Tracy Helen Hydorn received its 1134118573 assignment from the Centers for Medicare & Medicaid Services on 2005-10-18.
As of what date were the details related to Tracy Helen Hydorn most recently updated or revised?
The information pertaining to Tracy Helen Hydorn, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-03.