Shana S. Standard in Savannah - Physician Assistant
Shana S. Standard - NPI 1417977562
Shana S. Standard is a Physician Assistant in Savannah, Georgia. Shana S. Standard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shana S. Standard is 1417977562. The last update date is 2020-09-16.
Shana S. Standard's current location address is 836 E. 65th Street, Savannah, Georgia. You can contact this provider via phone number 9128197878 and fax number 9128193320. The mailing address for Shana S. Standard is 836 E. 65th Street, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shana S. Standard |
|---|---|
| Address | 836 E. 65th Street, Savannah, Georgia |
| Phone Number | 9128197878 |
| Fax Number | 9128193320 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1417977562 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2020-09-16 |
Provider Mailing Address Detail
| Address | 836 E. 65th Street |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 31405 |
| Phone Number | 9128197878 |
| Fax Number | 9128193320 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3540 |
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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 |
|---|---|---|---|
| 100000855C | GA | -- | |
| P00610133 | GA | RR MEDICARE | |
| 1270783 | AMERIGROUP |
Post Comment/ Review Below
What is the Shana S. Standard's unique identification number?
The Shana S. Standard has been assigned the NPI (National Provider Identifier) Number 1417977562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Shana S. Standard?
The Shana S. Standard is situated at 836 E. 65Th Street, in the city of Savannah, state of GA, with the zip code 31405.
What is the Shana S. Standard's specialty and taxonomy code?
The Shana S. Standard's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Shana S. Standard receive the assignment of its 1417977562 from the Centers for Medicare & Medicaid Services?
The Shana S. Standard was issued its 1417977562 by the Centers for Medicare & Medicaid Services on 2006-07-20.
When was the information regarding Shana S. Standard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shana S. Standard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-16.