Roxolana Lesya Wise in Silver Spring - Physician Assistant
Roxolana Lesya Wise - NPI 1114121936
Roxolana Lesya Wise is a Physician Assistant in Silver Spring, Maryland. Roxolana Lesya Wise practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Roxolana Lesya Wise is 1114121936. The last update date is 2012-06-26.
Roxolana Lesya Wise's current location address is 2415 Musgrove Rd, Silver Spring, Maryland. You can contact this provider via phone number 3019892300 and fax number 3012365357. The mailing address for Roxolana Lesya Wise is 2415 Musgrove Rd, Silver Spring, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Roxolana Lesya Wise |
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Address | 2415 Musgrove Rd, Silver Spring, Maryland |
Phone Number | 3019892300 |
Fax Number | 3012365357 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1114121936 |
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Provider Enumeration Date | 2007-06-14 |
Last Updated Date | 2012-06-26 |
Provider Mailing Address Detail
Address | 2415 Musgrove Rd |
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City | Silver Spring |
State | Maryland (MD) |
Post Code | 209045202 |
Phone Number | 3019892300 |
Fax Number | 3012365357 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA75548 |
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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What is the unique 10-digit identification code issued to Roxolana Lesya Wise by the Centers for Medicare & Medicaid Services?
The Roxolana Lesya Wise has been assigned the NPI (National Provider Identifier) 1114121936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Roxolana Lesya Wise is located?
The Roxolana Lesya Wise is situated at the following address: 2415 Musgrove Rd, Silver Spring, MD, 209045202.
What is Roxolana Lesya Wise's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roxolana Lesya Wise'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 Roxolana Lesya Wise receive its 1114121936 assignment from the Centers for Medicare & Medicaid Services?
The Roxolana Lesya Wise was assigned its 1114121936 on 2007-06-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Roxolana Lesya Wise's details last updated?
The information pertaining to the Roxolana Lesya Wise, including its address, specialty, and other details, was most recently updated on 2012-06-26.