Jill C Pease in Lafayette - Physician Assistant
Jill C Pease - NPI 1619951126
Jill C Pease is a Physician Assistant in Lafayette, Indiana. Jill C Pease practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill C Pease is 1619951126. The last update date is 2015-06-16.
Jill C Pease's current location address is 3554 Promenade Pkwy, Lafayette, Indiana. You can contact this provider via phone number 7654711100. The mailing address for Jill C Pease is 3554 Promenade Pkwy, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill C Pease |
|---|---|
| Address | 3554 Promenade Pkwy, Lafayette, Indiana |
| Phone Number | 7654711100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1619951126 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2015-06-16 |
Provider Mailing Address Detail
| Address | 3554 Promenade Pkwy |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479098417 |
| Phone Number | 7654711100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000824A |
|
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 |
|---|---|---|---|
| 540149 | IN | ANTHEM PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Jill C Pease by the Centers for Medicare & Medicaid Services?
The Jill C Pease has been assigned the NPI (National Provider Identifier) 1619951126. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jill C Pease is located?
The Jill C Pease is situated at the following address: 3554 Promenade Pkwy, Lafayette, IN, 479098417.
What is Jill C Pease's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jill C Pease is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619951126 to Jill C Pease?
The Centers for Medicare & Medicaid Services assigned the 1619951126 to Jill C Pease on 2005-11-30.
As of what date was the information pertaining to Jill C Pease, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jill C Pease, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-06-16.