Roger Smith is a Physician Assistant in Herrin, Illinois. Roger Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Roger Smith is 1841305463. The last update date is 2007-07-08.
Roger Smith's current location address is 510 Lincoln Drive, Herrin, Illinois. You can contact this provider via phone number 6189976800 and fax number 6189989124. The mailing address for Roger Smith is 510 Lincoln Drive, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Smith |
|---|---|
| Address | 510 Lincoln Drive, Herrin, Illinois |
| Phone Number | 6189976800 |
| Fax Number | 6189989124 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1841305463 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 510 Lincoln Drive |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 62948 |
| Phone Number | 6189976800 |
| Fax Number | 6189989124 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
|
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 |
|
Post Comment/ Review Below
What is the unique identification code assigned to Roger Smith by the Centers for Medicare & Medicaid Services?
The Roger Smith has been issued the NPI (National Provider Identifier) 1841305463. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Roger Smith is physically located?
The Roger Smith is situated at the following address: 510 Lincoln Drive, Herrin, IL 62948.
What is Roger Smith's area of expertise and its corresponding taxonomy classification?
The Roger Smith's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841305463 to Roger Smith?
The Centers for Medicare & Medicaid Services originally issued the 1841305463 to Roger Smith on 2006-08-21.
As of what date were the Roger Smith's details last updated?
The information pertaining to the Roger Smith, including its address, specialty, and other details, was most recently updated on 2007-07-08.