Tracey J Eismont in Jacksonville - Physician Assistant
Tracey J Eismont - NPI 1275529539
Tracey J Eismont is a Physician Assistant in Jacksonville, Florida. Tracey J Eismont practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracey J Eismont is 1275529539. The last update date is 2013-01-11.
Tracey J Eismont's current location address is 1 Shircliff Way, Jacksonville, Florida. You can contact this provider via phone number 9043087300 and fax number 9043460113. The mailing address for Tracey J Eismont is 1 Shircliff Way, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey J Eismont |
|---|---|
| Address | 1 Shircliff Way, Jacksonville, Florida |
| Phone Number | 9043087300 |
| Fax Number | 9043460113 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1275529539 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2013-01-11 |
Provider Mailing Address Detail
| Address | 1 Shircliff Way |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322044748 |
| Phone Number | 9043087300 |
| Fax Number | 9043460113 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA3182 |
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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 |
|---|---|---|---|
| PA0003182 | FL | RRMCR | |
| 9700123003 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Tracey J Eismont by the Centers for Medicare & Medicaid Services (CMS)?
The Tracey J Eismont has been assigned the NPI (National Provider Identifier) 1275529539. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Tracey J Eismont's specialty and taxonomy code?
The Tracey J Eismont's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Tracey J Eismont, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tracey J Eismont is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275529539 to Tracey J Eismont?
The Tracey J Eismont received its 1275529539 assignment from the Centers for Medicare & Medicaid Services on 2005-09-22.
When was the information pertaining to Tracey J Eismont most recently updated or revised?
The details related to Tracey J Eismont, including its address, specialty, and other relevant information, were last updated or revised on 2013-01-11.