Tammy Jo Moran in Rock Falls - Physician Assistant
Tammy Jo Moran - NPI 1275600843
Tammy Jo Moran is a Physician Assistant in Rock Falls, Illinois. Tammy Jo Moran practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tammy Jo Moran is 1275600843. The last update date is 2017-07-12.
Tammy Jo Moran's current location address is 1300 W 2nd St., Rock Falls, Illinois. You can contact this provider via phone number 8156262230 and fax number 8156263729. The mailing address for Tammy Jo Moran is 1300 W 2nd St., Rock Falls, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy Jo Moran |
|---|---|
| Address | 1300 W 2nd St., Rock Falls, Illinois |
| Phone Number | 8156262230 |
| Fax Number | 8156263729 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1275600843 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2017-07-12 |
Provider Mailing Address Detail
| Address | 1300 W 2nd St. |
|---|---|
| City | Rock Falls |
| State | Illinois (IL) |
| Post Code | 610711005 |
| Phone Number | 8156262230 |
| Fax Number | 8156263729 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-001786 |
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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 |
|---|---|---|---|
| 085-001786 | IL | ILLINOIS LICENSE NUMBER | |
| 1528008034 | IL | ORGANIZATION NPI NUMBER | |
| 1035875 | IL | PA CERTIFICATION NUMBER |
Post Comment/ Review Below
What is the Tammy Jo Moran's 1275600843?
The Tammy Jo Moran's NPI (National Provider Identifier) Number is 1275600843. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tammy Jo Moran's physical address?
The Tammy Jo Moran is physically located at 1300 W 2Nd St., in the city of Rock Falls, IL, with the postal code 610711005.
What is Tammy Jo Moran's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tammy Jo Moran is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275600843 to Tammy Jo Moran?
The Centers for Medicare & Medicaid Services assigned the 1275600843 to Tammy Jo Moran on 2006-11-29.
As of what date was the information regarding Tammy Jo Moran, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tammy Jo Moran, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-07-12.