Sharon Aycock is a Physician Assistant in Peoria, Illinois. Sharon Aycock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sharon Aycock is 1104813997. The last update date is 2013-11-08.
Sharon Aycock's current location address is 200 E Pennsylvania Ave, Peoria, Illinois. You can contact this provider via phone number 3096557888 and fax number 3096557905. The mailing address for Sharon Aycock is 200 E Pennsylvania Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon Aycock |
|---|---|
| Address | 200 E Pennsylvania Ave, Peoria, Illinois |
| Phone Number | 3096557888 |
| Fax Number | 3096557905 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104813997 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2013-11-08 |
Provider Mailing Address Detail
| Address | 200 E Pennsylvania Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033089 |
| Phone Number | 3096557888 |
| Fax Number | 3096557905 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85000729 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Sharon Aycock by the Centers for Medicare & Medicaid Services?
The Sharon Aycock has been assigned the NPI (National Provider Identifier) 1104813997. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Sharon Aycock's facilities are geographically located?
The facilities of Sharon Aycock are physically situated at the following location: 200 E Pennsylvania Ave, Peoria, IL, 616033089.
What is Sharon Aycock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sharon Aycock is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Sharon Aycock receive the assignment of its 1104813997 from the Centers for Medicare & Medicaid Services?
The Sharon Aycock was issued its 1104813997 by the Centers for Medicare & Medicaid Services on 2005-10-05.
As of what date was the information pertaining to Sharon Aycock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sharon Aycock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-11-08.