Lisa M Repko in Indianapolis - Physician Assistant
Lisa M Repko - NPI 1457378085
Lisa M Repko is a Physician Assistant in Indianapolis, Indiana. Lisa M Repko practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa M Repko is 1457378085. The last update date is 2017-02-28.
Lisa M Repko's current location address is 250 N Shadeland Ave, Indianapolis, Indiana. You can contact this provider via phone number 8669165259 and fax number 2319224030. The mailing address for Lisa M Repko is 250 N Shadeland Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Repko |
|---|---|
| Address | 250 N Shadeland Ave, Indianapolis, Indiana |
| Phone Number | 8669165259 |
| Fax Number | 2319224030 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1457378085 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2017-02-28 |
Provider Mailing Address Detail
| Address | 250 N Shadeland Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462194959 |
| Phone Number | 8669165259 |
| Fax Number | 2319224030 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003446 |
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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 Lisa M Repko by the Centers for Medicare & Medicaid Services?
The Lisa M Repko has been issued the NPI (National Provider Identifier) 1457378085, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Lisa M Repko's area of specialization and corresponding taxonomy classification?
The Lisa M Repko's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Lisa M Repko receive its 1457378085?
The Lisa M Repko was issued its 1457378085 on 2006-07-17, which is the date when the organization was assigned this unique identifier.
On what date did the Lisa M Repko receive its 1457378085 assignment from the Centers for Medicare & Medicaid Services?
The Lisa M Repko was assigned its 1457378085 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the Lisa M Repko's details last updated?
The information pertaining to the Lisa M Repko, including its address, specialty, and other details, was most recently updated on 2017-02-28.