Gretchen B Mason in Herrin - Physician Assistant
Gretchen B Mason - NPI 1245229111
Gretchen B Mason is a Physician Assistant in Herrin, Illinois. Gretchen B Mason practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gretchen B Mason is 1245229111. The last update date is 2009-03-25.
Gretchen B Mason's current location address is 510 Lincoln Dr, Herrin, Illinois. You can contact this provider via phone number 6189976800 and fax number 6189989124. The mailing address for Gretchen B Mason is 510 Lincoln Dr, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gretchen B Mason |
|---|---|
| Address | 510 Lincoln Dr, Herrin, Illinois |
| Phone Number | 6189976800 |
| Fax Number | 6189989124 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245229111 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2009-03-25 |
Provider Mailing Address Detail
| Address | 510 Lincoln Dr |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 629486334 |
| Phone Number | 6189976800 |
| Fax Number | 6189989124 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 850003442 |
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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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What is the unique 10-digit identification code assigned to Gretchen B Mason by the Centers for Medicare & Medicaid Services?
The Gretchen B Mason has been issued the NPI (National Provider Identifier) 1245229111, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gretchen B Mason located?
The Gretchen B Mason is located at 510 Lincoln Dr, Herrin, IL 629486334.
What is Gretchen B Mason's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gretchen B Mason 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 originally issue the 1245229111 to Gretchen B Mason?
The Centers for Medicare & Medicaid Services originally issued the 1245229111 to Gretchen B Mason on 2005-10-13.
As of what date was the information regarding Gretchen B Mason, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gretchen B Mason, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-25.