Stacey L Shadix in Crestview Hills - Physician Assistant
Stacey L Shadix - NPI 1316015910
Stacey L Shadix is a Physician Assistant in Crestview Hills, Kentucky. Stacey L Shadix practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacey L Shadix is 1316015910. The last update date is 2008-10-16.
Stacey L Shadix's current location address is 2865 Chancellor Dr, Crestview Hills, Kentucky. You can contact this provider via phone number 8593415400 and fax number 8595783172. The mailing address for Stacey L Shadix is 2865 Chancellor Dr, Crestview Hills, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey L Shadix |
|---|---|
| Address | 2865 Chancellor Dr, Crestview Hills, Kentucky |
| Phone Number | 8593415400 |
| Fax Number | 8595783172 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1316015910 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2008-10-16 |
Provider Mailing Address Detail
| Address | 2865 Chancellor Dr |
|---|---|
| City | Crestview Hills |
| State | Kentucky (KY) |
| Post Code | 410173912 |
| Phone Number | 8593415400 |
| Fax Number | 8595783172 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50-00-2367 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stacey L Shadix by the Centers for Medicare & Medicaid Services?
The Stacey L Shadix has been assigned the NPI (National Provider Identifier) 1316015910 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Stacey L Shadix's physical address?
The Stacey L Shadix is physically located at 2865 Chancellor Dr, in the city of Crestview Hills, KY, with the postal code 410173912.
What is the Stacey L Shadix's specialty and taxonomy code?
The Stacey L Shadix's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316015910 to Stacey L Shadix?
The Stacey L Shadix received its 1316015910 assignment from the Centers for Medicare & Medicaid Services on 2006-12-01.
As of what date were the details related to Stacey L Shadix most recently updated or revised?
The information pertaining to Stacey L Shadix, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-16.