Shanna Lynn Baus in Tampa - Physician Assistant
Shanna Lynn Baus - NPI 1114043262
Shanna Lynn Baus is a Physician Assistant in Tampa, Florida. Shanna Lynn Baus practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shanna Lynn Baus is 1114043262. The last update date is 2019-05-28.
Shanna Lynn Baus's current location address is 13000 Bruce B Downs Blvd, Tampa, Florida. You can contact this provider via phone number 8139722000 and fax number 8139727657. The mailing address for Shanna Lynn Baus is 13000 Bruce B Downs Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanna Lynn Baus |
|---|---|
| Address | 13000 Bruce B Downs Blvd, Tampa, Florida |
| Phone Number | 8139722000 |
| Fax Number | 8139727657 |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1114043262 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2019-05-28 |
Provider Mailing Address Detail
| Address | 13000 Bruce B Downs Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336124745 |
| Phone Number | 8139722000 |
| Fax Number | 8139727657 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103705 |
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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 |
|---|---|---|---|
| AN123Z | FL | MEDICARE PTAN | |
| PA 9103705 | FL | PHYSICIAN ASSISTANT |
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What is the unique identifier code issued to Shanna Lynn Baus by the Centers for Medicare & Medicaid Services?
The Shanna Lynn Baus has been assigned the NPI (National Provider Identifier) 1114043262. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shanna Lynn Baus's physical address?
The Shanna Lynn Baus is physically located at 13000 Bruce B Downs Blvd, in the city of Tampa, FL, with the postal code 336124745.
What is Shanna Lynn Baus's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shanna Lynn Baus's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Shanna Lynn Baus's 1114043262 issued?
The Shanna Lynn Baus's 1114043262 was issued on 2007-03-21.
As of what date were the Shanna Lynn Baus's details last updated?
The information pertaining to the Shanna Lynn Baus, including its address, specialty, and other details, was most recently updated on 2019-05-28.
NPI Number: 1750351375
Address: Po Box 845347, Dallas, TX