Randy Mancuso in Minneapolis - Physician Assistant
Randy Mancuso - NPI 1447349857
Randy Mancuso is a Physician Assistant in Minneapolis, Minnesota. Randy Mancuso practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randy Mancuso is 1447349857. The last update date is 2007-07-08.
Randy Mancuso's current location address is 2512 S 7th St, Minneapolis, Minnesota. You can contact this provider via phone number 6122739400. The mailing address for Randy Mancuso is 2512 S 7th St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Mancuso |
|---|---|
| Address | 2512 S 7th St, Minneapolis, Minnesota |
| Phone Number | 6122739400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OPA-C |
NPI Number Detail
| NPI Number | 1447349857 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2512 S 7th St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554541404 |
| Phone Number | 6122739400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8838 |
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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 |
|---|---|---|---|
| E023 | WPS/TRICARE |
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What is the Randy Mancuso's unique identification number?
The Randy Mancuso has been assigned the NPI (National Provider Identifier) Number 1447349857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Randy Mancuso located?
The Randy Mancuso is located at 2512 S 7Th St, Minneapolis, MN 554541404.
What is Randy Mancuso's area of expertise and its corresponding taxonomy classification?
The Randy Mancuso'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 originally issue the 1447349857 to Randy Mancuso?
The Centers for Medicare & Medicaid Services originally issued the 1447349857 to Randy Mancuso on 2006-10-12.
As of what date were the details pertaining to Randy Mancuso last refreshed?
The information related to the Randy Mancuso, including its address, specialty, and other relevant details, was last updated on 2007-07-08.