Sarah Chudy in Grand Rapids - Physician Assistant
Sarah Chudy - NPI 1700839974
Sarah Chudy is a Physician Assistant in Grand Rapids, Michigan. Sarah Chudy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sarah Chudy is 1700839974. The last update date is 2009-06-26.
Sarah Chudy's current location address is 200 Jefferson Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6166855039 and fax number 6166858910. The mailing address for Sarah Chudy is 200 Jefferson Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sarah Chudy |
|---|---|
| Address | 200 Jefferson Ave Se, Grand Rapids, Michigan |
| Phone Number | 6166855039 |
| Fax Number | 6166858910 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700839974 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2009-06-26 |
Provider Mailing Address Detail
| Address | 200 Jefferson Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034502 |
| Phone Number | 6166855039 |
| Fax Number | 6166858910 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004152 |
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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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What is the unique identification code assigned to Sarah Chudy by the Centers for Medicare & Medicaid Services?
The Sarah Chudy has been issued the NPI (National Provider Identifier) 1700839974. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sarah Chudy?
The Sarah Chudy is situated at 200 Jefferson Ave Se, in the city of Grand Rapids, state of MI, with the zip code 495034502.
What is Sarah Chudy'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 Sarah Chudy is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Sarah Chudy receive the assignment of its 1700839974 from the Centers for Medicare & Medicaid Services?
The Sarah Chudy was issued its 1700839974 by the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the information regarding Sarah Chudy most recently updated?
The details pertaining to the Sarah Chudy, including its address, specialty, and other relevant information, were last refreshed on 2009-06-26.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY