James John Otrembiak in Southgate - Physician Assistant
James John Otrembiak - NPI 1790839819
James John Otrembiak is a Physician Assistant in Southgate, Kentucky. James John Otrembiak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for James John Otrembiak is 1790839819. The last update date is 2018-07-06.
James John Otrembiak's current location address is 525 Alexandria Pike Ste 320, Southgate, Kentucky. You can contact this provider via phone number 8597811310 and fax number 8595723021. The mailing address for James John Otrembiak is 525 Alexandria Pike Ste 320, Southgate, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James John Otrembiak |
|---|---|
| Address | 525 Alexandria Pike Ste 320, Southgate, Kentucky |
| Phone Number | 8597811310 |
| Fax Number | 8595723021 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790839819 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2018-07-06 |
Provider Mailing Address Detail
| Address | 525 Alexandria Pike Ste 320 |
|---|---|
| City | Southgate |
| State | Kentucky (KY) |
| Post Code | 410713243 |
| Phone Number | 8597811310 |
| Fax Number | 8595723021 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 |
|---|---|---|---|
| 64226764 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to James John Otrembiak by the Centers for Medicare & Medicaid Services (CMS)?
The James John Otrembiak has been assigned the NPI (National Provider Identifier) 1790839819. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the James John Otrembiak's physical address?
The James John Otrembiak is physically located at 525 Alexandria Pike Ste 320, in the city of Southgate, KY, with the postal code 410713243.
What is James John Otrembiak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James John Otrembiak is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the James John Otrembiak receive its 1790839819 assignment from the Centers for Medicare & Medicaid Services?
The James John Otrembiak was assigned its 1790839819 by the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date was the information regarding James John Otrembiak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James John Otrembiak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-07-06.