Laura K. Burgeson in Hayden - Physician Assistant
Laura K. Burgeson - NPI 1962467977
Laura K. Burgeson is a Physician Assistant in Hayden, Idaho. Laura K. Burgeson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Laura K. Burgeson is 1962467977. The last update date is 2021-06-16.
Laura K. Burgeson's current location address is 1986 W Hayden Ave, Hayden, Idaho. You can contact this provider via phone number 2087627760 and fax number 2087627740. The mailing address for Laura K. Burgeson is 1986 W Hayden Ave, Hayden, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura K. Burgeson |
|---|---|
| Address | 1986 W Hayden Ave, Hayden, Idaho |
| Phone Number | 2087627760 |
| Fax Number | 2087627740 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1962467977 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2021-06-16 |
Provider Mailing Address Detail
| Address | 1986 W Hayden Ave |
|---|---|
| City | Hayden |
| State | Idaho (ID) |
| Post Code | 838357412 |
| Phone Number | 2087627760 |
| Fax Number | 2087627740 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA533 |
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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 |
|---|---|---|---|
| 807116700 | ID | -- | |
| 8421174 | WA | -- | |
| 16666921 | MEDICARE PTAN | ||
| 7144785 | WA | -- | |
| 8080036 | ID | -- | |
| 1370136 | MEDICARE GROUP PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Laura K. Burgeson by the Centers for Medicare & Medicaid Services?
The Laura K. Burgeson has been issued the NPI (National Provider Identifier) 1962467977 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Laura K. Burgeson's facilities are situated?
The facilities of Laura K. Burgeson are physically located at the following address: 1986 W Hayden Ave, Hayden, ID, 838357412.
What is Laura K. Burgeson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Laura K. Burgeson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962467977 to Laura K. Burgeson?
The Laura K. Burgeson received its 1962467977 assignment from the Centers for Medicare & Medicaid Services on 2006-04-20.
As of what date were the Laura K. Burgeson's details last updated?
The information pertaining to the Laura K. Burgeson, including its address, specialty, and other details, was most recently updated on 2021-06-16.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY