Edward Medina in Alamosa - Physician Assistant
Edward Medina - NPI 1558351460
Edward Medina is a Physician Assistant in Alamosa, Colorado. Edward Medina practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Edward Medina is 1558351460. The last update date is 2007-07-08.
Edward Medina's current location address is 1710 1st St, Alamosa, Colorado. You can contact this provider via phone number 7195893658 and fax number 7195890997. The mailing address for Edward Medina is 1710 1st St, Alamosa, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Medina |
|---|---|
| Address | 1710 1st St, Alamosa, Colorado |
| Phone Number | 7195893658 |
| Fax Number | 7195890997 |
| Sole Proprietor | X |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1558351460 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1710 1st St |
|---|---|
| City | Alamosa |
| State | Colorado (CO) |
| Post Code | 811012302 |
| Phone Number | 7195893658 |
| Fax Number | 7195890997 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1115 |
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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 |
|---|---|---|---|
| 840706945169 | CO | ROCKY MOUNTAIN HEALTH PLA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Edward Medina by the Centers for Medicare & Medicaid Services?
The Edward Medina has been assigned the NPI (National Provider Identifier) 1558351460 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Edward Medina located?
The Edward Medina is located at 1710 1St St, Alamosa, CO 811012302.
What is Edward Medina's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward Medina's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558351460 to Edward Medina?
The Centers for Medicare & Medicaid Services originally issued the 1558351460 to Edward Medina on 2005-10-24.
As of what date was the information pertaining to Edward Medina, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edward Medina, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.