Sarah Black Wies Patton in Portland - Physician Assistant
Sarah Black Wies Patton - NPI 1952391435
Sarah Black Wies Patton is a Physician Assistant in Portland, Maine. Sarah Black Wies Patton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sarah Black Wies Patton is 1952391435. The last update date is 2023-04-03.
Sarah Black Wies Patton's current location address is 1601 Congress St, Portland, Maine. You can contact this provider via phone number 2076610100 and fax number 2076610199. The mailing address for Sarah Black Wies Patton is 1601 Congress St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sarah Black Wies Patton |
|---|---|
| Address | 1601 Congress St, Portland, Maine |
| Phone Number | 2076610100 |
| Fax Number | 2076610199 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1952391435 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2023-04-03 |
Provider Mailing Address Detail
| Address | 1601 Congress St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41022102 |
| Phone Number | 2076610100 |
| Fax Number | 2076610199 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA2186 |
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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 |
|---|---|---|---|
| 1551PA | WA | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the Sarah Black Wies Patton's 1952391435?
The Sarah Black Wies Patton's NPI (National Provider Identifier) Number is 1952391435. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sarah Black Wies Patton's facilities are situated?
The facilities of Sarah Black Wies Patton are physically located at the following address: 1601 Congress St, Portland, ME, 41022102.
What is Sarah Black Wies Patton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sarah Black Wies Patton's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Sarah Black Wies Patton receive the assignment of its 1952391435 from the Centers for Medicare & Medicaid Services?
The Sarah Black Wies Patton was issued its 1952391435 by the Centers for Medicare & Medicaid Services on 2005-10-25.
As of what date was the information regarding Sarah Black Wies Patton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sarah Black Wies Patton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-03.