Rae Riley Dewoody in Emeryville - Physician Assistant
Rae Riley Dewoody - NPI 1942244157
Rae Riley Dewoody is a Physician Assistant in Emeryville, California. Rae Riley Dewoody practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rae Riley Dewoody is 1942244157. The last update date is 2022-01-07.
Rae Riley Dewoody's current location address is 2100 Powell St, Emeryville, California. You can contact this provider via phone number 5103502777. The mailing address for Rae Riley Dewoody is 2100 Powell St, Emeryville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rae Riley Dewoody |
|---|---|
| Address | 2100 Powell St, Emeryville, California |
| Phone Number | 5103502777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A-C |
NPI Number Detail
| NPI Number | 1942244157 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2022-01-07 |
Provider Mailing Address Detail
| Address | 2100 Powell St |
|---|---|
| City | Emeryville |
| State | California (CA) |
| Post Code | 946081826 |
| Phone Number | 5103502777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2645 |
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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 |
|---|---|---|---|
| 100001061D | GA | -- | |
| 100001061B | GA | -- | |
| 100001061C | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Rae Riley Dewoody by the Centers for Medicare & Medicaid Services (CMS)?
The Rae Riley Dewoody has been assigned the NPI (National Provider Identifier) 1942244157. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Rae Riley Dewoody's physical address?
The Rae Riley Dewoody is physically located at 2100 Powell St, in the city of Emeryville, CA, with the postal code 946081826.
What is the Rae Riley Dewoody's area of specialization and corresponding taxonomy classification?
The Rae Riley Dewoody's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Rae Riley Dewoody receive the assignment of its 1942244157 from the Centers for Medicare & Medicaid Services?
The Rae Riley Dewoody was issued its 1942244157 by the Centers for Medicare & Medicaid Services on 2006-06-16.
As of what date were the details pertaining to Rae Riley Dewoody last refreshed?
The information related to the Rae Riley Dewoody, including its address, specialty, and other relevant details, was last updated on 2022-01-07.
NPI Number: 1336142389
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