Robert J Smith in Santa Rosa - Physician Assistant
Robert J Smith - NPI 1477765931
Robert J Smith is a Physician Assistant in Santa Rosa, California. Robert J Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert J Smith is 1477765931. The last update date is 2008-12-03.
Robert J Smith's current location address is 1405 Montgomery Dr, Santa Rosa, California. You can contact this provider via phone number 7075461922 and fax number 7075461897. The mailing address for Robert J Smith is 1405 Montgomery Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert J Smith |
|---|---|
| Address | 1405 Montgomery Dr, Santa Rosa, California |
| Phone Number | 7075461922 |
| Fax Number | 7075461897 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1477765931 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2008-12-03 |
Provider Mailing Address Detail
| Address | 1405 Montgomery Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054557 |
| Phone Number | 7075461922 |
| Fax Number | 7075461897 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA20267 |
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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 |
|---|---|---|---|
| PA20267 | CA | -- | |
| 0PA202670 | CA | CIGNA DME | |
| PA20267 | CA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Robert J Smith by the Centers for Medicare & Medicaid Services?
The Robert J Smith has been assigned the NPI (National Provider Identifier) 1477765931. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Robert J Smith is located?
The Robert J Smith is situated at the following address: 1405 Montgomery Dr, Santa Rosa, CA, 954054557.
What is the area of specialization for Robert J Smith, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert J Smith is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did Robert J Smith receive its 1477765931 assignment?
The Robert J Smith was assigned its 1477765931 on 2007-05-04, which is the date when this unique identifier was issued to the organization.
When was the information related to Robert J Smith most recently updated or refreshed?
The details pertaining to the Robert J Smith, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-12-03.
NPI Number: 1639193113
Address: 3532 Ephraim Mcdowell Dr, Louisville, KY