Robert Douglas Bliesath in Savannah - Physician Assistant
Robert Douglas Bliesath - NPI 1194752287
Robert Douglas Bliesath is a Physician Assistant in Savannah, Georgia. Robert Douglas Bliesath practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Douglas Bliesath is 1194752287. The last update date is 2008-05-23.
Robert Douglas Bliesath's current location address is 5 Executive Cir, Savannah, Georgia. You can contact this provider via phone number 9123552400 and fax number 9123555324. The mailing address for Robert Douglas Bliesath is 5 Executive Cir, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Douglas Bliesath |
|---|---|
| Address | 5 Executive Cir, Savannah, Georgia |
| Phone Number | 9123552400 |
| Fax Number | 9123555324 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1194752287 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2008-05-23 |
Provider Mailing Address Detail
| Address | 5 Executive Cir |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314063345 |
| Phone Number | 9123552400 |
| Fax Number | 9123555324 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3117 |
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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 |
|---|---|---|---|
| 100001614B | GA | -- | |
| 100001614A | GA | -- | |
| 10059029 | GA | AMERIGROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert Douglas Bliesath by the Centers for Medicare & Medicaid Services?
The Robert Douglas Bliesath has been assigned the NPI (National Provider Identifier) 1194752287 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Robert Douglas Bliesath?
The Robert Douglas Bliesath is situated at 5 Executive Cir, in the city of Savannah, state of GA, with the zip code 314063345.
What is Robert Douglas Bliesath's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Douglas Bliesath is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194752287 to Robert Douglas Bliesath?
The Centers for Medicare & Medicaid Services assigned the 1194752287 to Robert Douglas Bliesath on 2006-06-26.
When was the information related to Robert Douglas Bliesath most recently updated or refreshed?
The details pertaining to the Robert Douglas Bliesath, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-23.