Melissa Lenderman in Pittsfield - Physician Assistant

Melissa Lenderman - NPI 1295761724

Melissa Lenderman is a Physician Assistant in Pittsfield, Illinois. Melissa Lenderman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Melissa Lenderman is 1295761724. The last update date is 2018-08-16.

Melissa Lenderman's current location address is 320 N Madison St, Pittsfield, Illinois. You can contact this provider via phone number 2172859601. The mailing address for Melissa Lenderman is 320 N Madison St, Pittsfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Melissa Lenderman
Address 320 N Madison St, Pittsfield, Illinois
Phone Number 2172859601
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1295761724
Provider Enumeration Date 2006-06-25
Last Updated Date 2018-08-16

Provider Mailing Address Detail

Address 320 N Madison St
City Pittsfield
State Illinois (IL)
Post Code 62363
Phone Number 2172859601
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA136
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3668023 TN --
CA7018 TN RAILROAD MEDICARE

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FAQs about Melissa Lenderman

What is the unique identifier code issued to Melissa Lenderman by the Centers for Medicare & Medicaid Services (CMS)?

The Melissa Lenderman has been assigned the NPI (National Provider Identifier) 1295761724. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Melissa Lenderman's facilities are geographically located?

The facilities of Melissa Lenderman are physically situated at the following location: 320 N Madison St, Pittsfield, IL, 62363.

What is Melissa Lenderman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Melissa Lenderman's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1295761724 to Melissa Lenderman?

The Melissa Lenderman received its 1295761724 assignment from the Centers for Medicare & Medicaid Services on 2006-06-25.

As of what date was the information regarding Melissa Lenderman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Melissa Lenderman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-08-16.

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