Katherine R Tyriver in Orlando - Physician Assistant

Katherine R Tyriver - NPI 1194889394

Katherine R Tyriver is a Physician Assistant in Orlando, Florida. Katherine R Tyriver practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katherine R Tyriver is 1194889394. The last update date is 2007-07-08.

Katherine R Tyriver's current location address is Po Box 628296, Orlando, Florida. You can contact this provider via phone number 4077419418 and fax number 9043460113. The mailing address for Katherine R Tyriver is Po Box 628296, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Katherine R Tyriver
Address Po Box 628296, Orlando, Florida
Phone Number 4077419418
Fax Number 9043460113
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1194889394
Provider Enumeration Date 2006-12-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 628296
City Orlando
State Florida (FL)
Post Code 328628296
Phone Number 4077419418
Fax Number 9043460113

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA91012431
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
P00105898 FL RAILROAD MEDICARE

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FAQs about Katherine R Tyriver

What is the unique 10-digit identifier code assigned to Katherine R Tyriver by the Centers for Medicare & Medicaid Services?

The Katherine R Tyriver has been issued the NPI (National Provider Identifier) 1194889394 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

What is Katherine R Tyriver's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Katherine R Tyriver's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

What is Katherine R Tyriver's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Katherine R Tyriver is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did Katherine R Tyriver receive its 1194889394 assignment from the Centers for Medicare & Medicaid Services?

The Katherine R Tyriver was assigned its 1194889394 on 2006-12-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Centers for Medicare & Medicaid Services assign the 1194889394 to Katherine R Tyriver?

The Centers for Medicare & Medicaid Services assigned the 1194889394 to Katherine R Tyriver on 2006-12-21.

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