Susan Elaine O'Malley in San Jose - Physician Assistant
Susan Elaine O'Malley - NPI 1568429447
Susan Elaine O'Malley is a Physician Assistant in San Jose, California. Susan Elaine O'Malley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan Elaine O'Malley is 1568429447. The last update date is 2007-11-05.
Susan Elaine O'Malley's current location address is 2410 Samaritan Dr, San Jose, California. You can contact this provider via phone number 4083719010 and fax number 4083712633. The mailing address for Susan Elaine O'Malley is 2410 Samaritan Dr, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Elaine O'Malley |
|---|---|
| Address | 2410 Samaritan Dr, San Jose, California |
| Phone Number | 4083719010 |
| Fax Number | 4083712633 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1568429447 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-11-05 |
Provider Mailing Address Detail
| Address | 2410 Samaritan Dr |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951243909 |
| Phone Number | 4083719010 |
| Fax Number | 4083712633 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA12011 |
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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 |
|---|---|---|---|
| 0PA120110 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Elaine O'Malley by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Elaine O'Malley has been assigned the NPI (National Provider Identifier) 1568429447. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Susan Elaine O'Malley's specialty and taxonomy code?
The Susan Elaine O'Malley's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568429447 to Susan Elaine O'Malley?
The Susan Elaine O'Malley received its 1568429447 assignment from the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the Susan Elaine O'Malley's information last updated?
The Susan Elaine O'Malley's information was last updated on 2007-11-05.
When was the information pertaining to Susan Elaine O'Malley most recently updated or revised?
The details related to Susan Elaine O'Malley, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-05.
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