John J Ibanez in Danville - Physician Assistant
John J Ibanez - NPI 1770580250
John J Ibanez is a Physician Assistant in Danville, Kentucky. John J Ibanez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John J Ibanez is 1770580250. The last update date is 2007-10-16.
John J Ibanez's current location address is 1250 Ben Ali Dr, Danville, Kentucky. You can contact this provider via phone number 8592366621 and fax number 8592380471. The mailing address for John J Ibanez is 1250 Ben Ali Dr, Danville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John J Ibanez |
|---|---|
| Address | 1250 Ben Ali Dr, Danville, Kentucky |
| Phone Number | 8592366621 |
| Fax Number | 8592380471 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1770580250 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 1250 Ben Ali Dr |
|---|---|
| City | Danville |
| State | Kentucky (KY) |
| Post Code | 404228937 |
| Phone Number | 8592366621 |
| Fax Number | 8592380471 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA405 |
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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 |
|---|---|---|---|
| 194007 | KY | ANTHEM FACETS# | |
| 24356111000 | KY | PASSPORT MCR ADVANTAGE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John J Ibanez by the Centers for Medicare & Medicaid Services?
The John J Ibanez has been assigned the NPI (National Provider Identifier) 1770580250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where John J Ibanez is geographically located?
The John J Ibanez is physically situated at the following location: 1250 Ben Ali Dr, Danville, KY, 404228937.
What is John J Ibanez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John J Ibanez 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 issue the 1770580250 to John J Ibanez?
The John J Ibanez received its 1770580250 assignment from the Centers for Medicare & Medicaid Services on 2005-06-30.
As of what date was the information pertaining to John J Ibanez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John J Ibanez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-16.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV