Deana M. Menikoff in Louisville - Physician Assistant
Deana M. Menikoff - NPI 1790759314
Deana M. Menikoff is a Physician Assistant in Louisville, Kentucky. Deana M. Menikoff practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Deana M. Menikoff is 1790759314. The last update date is 2007-07-09.
Deana M. Menikoff's current location address is 220 Abraham Flexner Way, Louisville, Kentucky. You can contact this provider via phone number 5025843376 and fax number 5025841385. The mailing address for Deana M. Menikoff is 220 Abraham Flexner Way, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deana M. Menikoff |
|---|---|
| Address | 220 Abraham Flexner Way, Louisville, Kentucky |
| Phone Number | 5025843376 |
| Fax Number | 5025841385 |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790759314 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 220 Abraham Flexner Way |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402023826 |
| Phone Number | 5025843376 |
| Fax Number | 5025841385 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA551 |
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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 |
|---|---|---|---|
| 1130973 | KY | PASSPORT | |
| 9500112900 | KY | -- | |
| 2437660000 | KY | PASSPORT ADVANTAGE | |
| 190242 | KY | ANTHEM PROVIDER # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Deana M. Menikoff?
The Deana M. Menikoff has been issued the NPI (National Provider Identifier) 1790759314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Deana M. Menikoff's facilities are geographically located?
The facilities of Deana M. Menikoff are physically situated at the following location: 220 Abraham Flexner Way, Louisville, KY, 402023826.
What is Deana M. Menikoff's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Deana M. Menikoff's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790759314 to Deana M. Menikoff?
The Centers for Medicare & Medicaid Services assigned the 1790759314 to Deana M. Menikoff on 2006-02-13.
When was the information pertaining to Deana M. Menikoff most recently updated or revised?
The details related to Deana M. Menikoff, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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