Stacy L Purcell in Ottawa - Physician Assistant
Stacy L Purcell - NPI 1952309981
Stacy L Purcell is a Physician Assistant in Ottawa, Illinois. Stacy L Purcell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacy L Purcell is 1952309981. The last update date is 2019-06-26.
Stacy L Purcell's current location address is 123 W Michigan St, Ottawa, Illinois. You can contact this provider via phone number 8158600757 and fax number 7089232529. The mailing address for Stacy L Purcell is 123 W Michigan St, Ottawa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy L Purcell |
|---|---|
| Address | 123 W Michigan St, Ottawa, Illinois |
| Phone Number | 8158600757 |
| Fax Number | 7089232529 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1952309981 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2019-06-26 |
Provider Mailing Address Detail
| Address | 123 W Michigan St |
|---|---|
| City | Ottawa |
| State | Illinois (IL) |
| Post Code | 6135020280 |
| Phone Number | 8158600757 |
| Fax Number | 7089232529 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85002282 |
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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 identifier code issued to Stacy L Purcell by the Centers for Medicare & Medicaid Services?
The Stacy L Purcell has been assigned the NPI (National Provider Identifier) 1952309981. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stacy L Purcell's facilities are situated?
The facilities of Stacy L Purcell are physically located at the following address: 123 W Michigan St, Ottawa, IL, 6135020280.
What is Stacy L Purcell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy L Purcell's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952309981 to Stacy L Purcell?
The Centers for Medicare & Medicaid Services assigned the 1952309981 to Stacy L Purcell on 2005-07-13.
As of what date was the information regarding Stacy L Purcell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacy L Purcell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-06-26.