Larry A Waskow in Owings Mills - Physician Assistant
Larry A Waskow - NPI 1710949003
Larry A Waskow is a Physician Assistant in Owings Mills, Maryland. Larry A Waskow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Larry A Waskow is 1710949003. The last update date is 2014-05-06.
Larry A Waskow's current location address is 25 Crossroads Dr, Owings Mills, Maryland. You can contact this provider via phone number 4105811600. The mailing address for Larry A Waskow is 25 Crossroads Dr, Owings Mills, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry A Waskow |
|---|---|
| Address | 25 Crossroads Dr, Owings Mills, Maryland |
| Phone Number | 4105811600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1710949003 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2014-05-06 |
Provider Mailing Address Detail
| Address | 25 Crossroads Dr |
|---|---|
| City | Owings Mills |
| State | Maryland (MD) |
| Post Code | 211175421 |
| Phone Number | 4105811600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0000274 |
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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 |
|---|---|---|---|
| 970005850 | MD | R/R MEDICARE PROVIDER # |
Post Comment/ Review Below
What is the Larry A Waskow's unique identification number?
The Larry A Waskow has been assigned the NPI (National Provider Identifier) Number 1710949003 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Larry A Waskow is physically located?
The Larry A Waskow is physically situated at the following address: 25 Crossroads Dr, Owings Mills, MD, 211175421.
What is the Larry A Waskow's area of specialization and corresponding taxonomy classification?
The Larry A Waskow'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 Larry A Waskow receive its 1710949003 assignment from the Centers for Medicare & Medicaid Services?
The Larry A Waskow was assigned its 1710949003 by the Centers for Medicare & Medicaid Services on 2006-04-04.
As of what date were the details related to Larry A Waskow most recently updated or revised?
The information pertaining to Larry A Waskow, including its address, specialty, and other relevant details, was last updated or revised on 2014-05-06.