Jacob Gregory Guth in Stillwater - Physician Assistant
Jacob Gregory Guth - NPI 1134169774
Jacob Gregory Guth is a Physician Assistant in Stillwater, Minnesota. Jacob Gregory Guth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacob Gregory Guth is 1134169774. The last update date is 2021-03-11.
Jacob Gregory Guth's current location address is 1950 Northwestern Ave S Ste 102, Stillwater, Minnesota. You can contact this provider via phone number 6514303800 and fax number 6514303827. The mailing address for Jacob Gregory Guth is 1950 Northwestern Ave S Ste 102, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Gregory Guth |
|---|---|
| Address | 1950 Northwestern Ave S Ste 102, Stillwater, Minnesota |
| Phone Number | 6514303800 |
| Fax Number | 6514303827 |
| Sole Proprietor | N |
| Credentials | P.A.C |
NPI Number Detail
| NPI Number | 1134169774 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
| Address | 1950 Northwestern Ave S Ste 102 |
|---|---|
| City | Stillwater |
| State | Minnesota (MN) |
| Post Code | 550827615 |
| Phone Number | 6514303800 |
| Fax Number | 6514303827 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 393 |
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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 |
|---|---|---|---|
| 1047498 | MN | PREFERRED ONE | |
| 135584 | MN | UCARE | |
| 527G9GU | MN | BLUE CROSS & BLUE SHIELD | |
| HP65749 | MN | HEALTH PARTNERS | |
| 747410500 | MN | -- | |
| 2443375 | MN | AMERICAS PPO | |
| 42886700 | WI | -- | |
| 124329 | MN | MEDICA |
Post Comment/ Review Below
What is the Jacob Gregory Guth's 1134169774?
The Jacob Gregory Guth's NPI (National Provider Identifier) Number is 1134169774. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jacob Gregory Guth is physically located?
The Jacob Gregory Guth is situated at the following address: 1950 Northwestern Ave S Ste 102, Stillwater, MN 550827615.
What is Jacob Gregory Guth's area of expertise and its corresponding taxonomy classification?
The Jacob Gregory Guth'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.
When was the Jacob Gregory Guth's 1134169774 issued?
The Jacob Gregory Guth's 1134169774 was issued on 2006-06-08.
As of what date were the details pertaining to Jacob Gregory Guth last refreshed?
The information related to the Jacob Gregory Guth, including its address, specialty, and other relevant details, was last updated on 2021-03-11.