Maria Paniamogan in Moline - Physician Assistant
Maria Paniamogan - NPI 1760455398
Maria Paniamogan is a Physician Assistant in Moline, Illinois. Maria Paniamogan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maria Paniamogan is 1760455398. The last update date is 2022-06-15.
Maria Paniamogan's current location address is 612 35th Ave Ste 1, Moline, Illinois. You can contact this provider via phone number 3097880014 and fax number 3096234638. The mailing address for Maria Paniamogan is 612 35th Ave Ste 1, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Paniamogan |
|---|---|
| Address | 612 35th Ave Ste 1, Moline, Illinois |
| Phone Number | 3097880014 |
| Fax Number | 3096234638 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1760455398 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2022-06-15 |
Provider Mailing Address Detail
| Address | 612 35th Ave Ste 1 |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612656176 |
| Phone Number | 3097880014 |
| Fax Number | 3096234638 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85002064 |
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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 |
|---|---|---|---|
| IL01V2 | JOHN DEERE | ||
| 92068 | BCWELLMARK MOLINE | ||
| 98786 | BCWELLMARK E MOLINE | ||
| 85002064 | BCILLINOIS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Maria Paniamogan by the Centers for Medicare & Medicaid Services?
The Maria Paniamogan has been issued the NPI (National Provider Identifier) 1760455398 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Maria Paniamogan?
The Maria Paniamogan is physically situated at 612 35Th Ave Ste 1, in the city of Moline, state of IL, with the postal code 612656176.
What is the Maria Paniamogan's area of specialization and corresponding taxonomy classification?
The Maria Paniamogan's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760455398 to Maria Paniamogan?
The Centers for Medicare & Medicaid Services originally issued the 1760455398 to Maria Paniamogan on 2006-02-13.
When was the information pertaining to Maria Paniamogan most recently updated or revised?
The details related to Maria Paniamogan, including its address, specialty, and other relevant information, were last updated or revised on 2022-06-15.