Jamie Russell Birkelo in Burnsville - Physician Assistant
Jamie Russell Birkelo - NPI 1295947158
Jamie Russell Birkelo is a Physician Assistant in Burnsville, Minnesota. Jamie Russell Birkelo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jamie Russell Birkelo is 1295947158. The last update date is 2018-05-29.
Jamie Russell Birkelo's current location address is 1000 W 140th St, Burnsville, Minnesota. You can contact this provider via phone number 9528083000 and fax number 9528083001. The mailing address for Jamie Russell Birkelo is 1000 W 140th St, Burnsville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie Russell Birkelo |
|---|---|
| Address | 1000 W 140th St, Burnsville, Minnesota |
| Phone Number | 9528083000 |
| Fax Number | 9528083001 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1295947158 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2018-05-29 |
Provider Mailing Address Detail
| Address | 1000 W 140th St |
|---|---|
| City | Burnsville |
| State | Minnesota (MN) |
| Post Code | 553374480 |
| Phone Number | 9528083000 |
| Fax Number | 9528083001 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85003567 |
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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 10-digit identification code assigned to Jamie Russell Birkelo by the Centers for Medicare & Medicaid Services?
The Jamie Russell Birkelo has been issued the NPI (National Provider Identifier) 1295947158, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jamie Russell Birkelo?
The Jamie Russell Birkelo is situated at 1000 W 140Th St, in the city of Burnsville, state of MN, with the zip code 553374480.
What is Jamie Russell Birkelo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jamie Russell Birkelo is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Jamie Russell Birkelo receive its 1295947158 assignment from the Centers for Medicare & Medicaid Services?
The Jamie Russell Birkelo was assigned its 1295947158 by the Centers for Medicare & Medicaid Services on 2007-05-04.
As of what date were the Jamie Russell Birkelo's details last updated?
The information pertaining to the Jamie Russell Birkelo, including its address, specialty, and other details, was most recently updated on 2018-05-29.
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