Traverse Anesthesia Associates, Pc in Traverse City - Physician Assistant
Traverse Anesthesia Associates, Pc - NPI 1013966506
Traverse Anesthesia Associates, Pc is a Physician Assistant in Traverse City, Michigan. Traverse Anesthesia Associates, Pc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Traverse Anesthesia Associates, Pc is 1013966506. The last update date is 2007-11-02.
Traverse Anesthesia Associates, Pc's current location address is 4100 Park Forest Dr, Traverse City, Michigan. You can contact this provider via phone number 2319355770 and fax number 2319350747. The mailing address for Traverse Anesthesia Associates, Pc is 4100 Park Forest Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Traverse Anesthesia Associates, Pc |
|---|---|
| Address | 4100 Park Forest Dr, Traverse City, Michigan |
| Phone Number | 2319355770 |
| Fax Number | 2319350747 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Killian Nikki |
| Telephone Number | 2319355770 |
NPI Number Detail
| NPI Number | 1013966506 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 4100 Park Forest Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496847331 |
| Phone Number | 2319355770 |
| Fax Number | 2319350747 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 10-digit identification code issued to Traverse Anesthesia Associates, Pc by the Centers for Medicare & Medicaid Services?
The Traverse Anesthesia Associates, Pc has been assigned the NPI (National Provider Identifier) 1013966506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Traverse Anesthesia Associates, Pc?
The Traverse Anesthesia Associates, Pc is physically situated at 4100 Park Forest Dr, in the city of Traverse City, state of MI, with the postal code 496847331.
What is Traverse Anesthesia Associates, Pc's area of expertise and its corresponding taxonomy classification?
The Traverse Anesthesia Associates, Pc's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1013966506 to Traverse Anesthesia Associates, Pc?
The Traverse Anesthesia Associates, Pc received its 1013966506 assignment from the Centers for Medicare & Medicaid Services on 2006-05-10.
When was the Traverse Anesthesia Associates, Pc's information last updated?
The Traverse Anesthesia Associates, Pc's information was last updated on 2007-11-02.