Randall T Mathis in St Augustine - Physician Assistant
Randall T Mathis - NPI 1922055391
Randall T Mathis is a Physician Assistant in St Augustine, Florida. Randall T Mathis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randall T Mathis is 1922055391. The last update date is 2012-04-16.
Randall T Mathis's current location address is Po Box 3123, St Augustine, Florida. You can contact this provider via phone number 9042177450 and fax number 9042177483. The mailing address for Randall T Mathis is Po Box 3123, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall T Mathis |
|---|---|
| Address | Po Box 3123, St Augustine, Florida |
| Phone Number | 9042177450 |
| Fax Number | 9042177483 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1922055391 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2012-04-16 |
Provider Mailing Address Detail
| Address | Po Box 3123 |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320853123 |
| Phone Number | 9042177450 |
| Fax Number | 9042177483 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9101202 |
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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 |
|---|---|---|---|
| 4707900 | FL | -- | |
| Y04HB | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall T Mathis by the Centers for Medicare & Medicaid Services?
The Randall T Mathis has been issued the NPI (National Provider Identifier) 1922055391, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Randall T Mathis is physically located?
The Randall T Mathis is physically situated at the following address: Po Box 3123, St Augustine, FL, 320853123.
What is Randall T Mathis's area of expertise and its corresponding taxonomy classification?
The Randall T Mathis'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.
When did Randall T Mathis receive its 1922055391 assignment?
The Randall T Mathis was assigned its 1922055391 on 2006-05-30, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Randall T Mathis most recently updated or revised?
The details related to Randall T Mathis, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-16.