Jeremy L Winderweedle in Victorville - Physician Assistant
Jeremy L Winderweedle - NPI 1851322002
Jeremy L Winderweedle is a Physician Assistant in Victorville, California. Jeremy L Winderweedle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeremy L Winderweedle is 1851322002. The last update date is 2021-12-01.
Jeremy L Winderweedle's current location address is 12550 Hesperia Rd, Victorville, California. You can contact this provider via phone number 7602416666 and fax number 7602417575. The mailing address for Jeremy L Winderweedle is 12550 Hesperia Rd, Victorville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy L Winderweedle |
|---|---|
| Address | 12550 Hesperia Rd, Victorville, California |
| Phone Number | 7602416666 |
| Fax Number | 7602417575 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1851322002 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 12550 Hesperia Rd |
|---|---|
| City | Victorville |
| State | California (CA) |
| Post Code | 923955873 |
| Phone Number | 7602416666 |
| Fax Number | 7602417575 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA16640 |
|
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 |
|---|---|---|---|
| PA16640 | CA | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jeremy L Winderweedle by the Centers for Medicare & Medicaid Services?
The Jeremy L Winderweedle has been assigned the NPI (National Provider Identifier) 1851322002. 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 Jeremy L Winderweedle is located?
The Jeremy L Winderweedle is situated at the following address: 12550 Hesperia Rd, Victorville, CA, 923955873.
What is Jeremy L Winderweedle's area of expertise and its corresponding taxonomy classification?
The Jeremy L Winderweedle's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jeremy L Winderweedle receive its 1851322002 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy L Winderweedle was assigned its 1851322002 on 2006-07-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jeremy L Winderweedle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeremy L Winderweedle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-01.