Denotta Shavonn Teagle in Baltimore - Physician Assistant
Denotta Shavonn Teagle - NPI 1902807100
Denotta Shavonn Teagle is a Physician Assistant in Baltimore, Maryland. Denotta Shavonn Teagle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Denotta Shavonn Teagle is 1902807100. The last update date is 2010-11-30.
Denotta Shavonn Teagle's current location address is 1501 Division St, Baltimore, Maryland. You can contact this provider via phone number 4107284176 and fax number 4107284412. The mailing address for Denotta Shavonn Teagle is 1501 Division St, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denotta Shavonn Teagle |
|---|---|
| Address | 1501 Division St, Baltimore, Maryland |
| Phone Number | 4107284176 |
| Fax Number | 4107284412 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1902807100 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2010-11-30 |
Provider Mailing Address Detail
| Address | 1501 Division St |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212173121 |
| Phone Number | 4107284176 |
| Fax Number | 4107284412 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0001369 |
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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 identification code assigned to Denotta Shavonn Teagle by the Centers for Medicare & Medicaid Services?
The Denotta Shavonn Teagle has been issued the NPI (National Provider Identifier) 1902807100. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Denotta Shavonn Teagle is physically located?
The Denotta Shavonn Teagle is situated at the following address: 1501 Division St, Baltimore, MD 212173121.
What is the Denotta Shavonn Teagle's area of specialization and corresponding taxonomy classification?
The Denotta Shavonn Teagle's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Denotta Shavonn Teagle receive its 1902807100 assignment from the Centers for Medicare & Medicaid Services?
The Denotta Shavonn Teagle was assigned its 1902807100 by the Centers for Medicare & Medicaid Services on 2005-08-10.
As of what date was the information regarding Denotta Shavonn Teagle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Denotta Shavonn Teagle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-30.