Tammy Jean Grosserode in Kansas City - Physician Assistant
Tammy Jean Grosserode - NPI 1740468388
Tammy Jean Grosserode is a Physician Assistant in Kansas City, Missouri. Tammy Jean Grosserode practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tammy Jean Grosserode is 1740468388. The last update date is 2019-07-16.
Tammy Jean Grosserode's current location address is 5810 Nw Barry Rd, Kansas City, Missouri. You can contact this provider via phone number 8164540666 and fax number 8164541694. The mailing address for Tammy Jean Grosserode is 5810 Nw Barry Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy Jean Grosserode |
|---|---|
| Address | 5810 Nw Barry Rd, Kansas City, Missouri |
| Phone Number | 8164540666 |
| Fax Number | 8164541694 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740468388 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2019-07-16 |
Provider Mailing Address Detail
| Address | 5810 Nw Barry Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641541400 |
| Phone Number | 8164540666 |
| Fax Number | 8164541694 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2006024407 |
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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 Tammy Jean Grosserode by the Centers for Medicare & Medicaid Services?
The Tammy Jean Grosserode has been assigned the NPI (National Provider Identifier) 1740468388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Tammy Jean Grosserode's physical address?
The Tammy Jean Grosserode is physically located at 5810 Nw Barry Rd, in the city of Kansas City, MO, with the postal code 641541400.
What is Tammy Jean Grosserode's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tammy Jean Grosserode is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Tammy Jean Grosserode receive its 1740468388 assignment from the Centers for Medicare & Medicaid Services?
The Tammy Jean Grosserode was assigned its 1740468388 by the Centers for Medicare & Medicaid Services on 2008-02-06.
As of what date were the details pertaining to Tammy Jean Grosserode last refreshed?
The information related to the Tammy Jean Grosserode, including its address, specialty, and other relevant details, was last updated on 2019-07-16.