Stacy A. Vienhage in Springfield - Physician Assistant
Stacy A. Vienhage - NPI 1972693638
Stacy A. Vienhage is a Physician Assistant in Springfield, Missouri. Stacy A. Vienhage practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacy A. Vienhage is 1972693638. The last update date is 2010-12-16.
Stacy A. Vienhage's current location address is 3808 S. Greystone Ct., Springfield, Missouri. You can contact this provider via phone number 4178893332 and fax number 4178811410. The mailing address for Stacy A. Vienhage is 3808 S. Greystone Ct., Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy A. Vienhage |
|---|---|
| Address | 3808 S. Greystone Ct., Springfield, Missouri |
| Phone Number | 4178893332 |
| Fax Number | 4178811410 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1972693638 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2010-12-16 |
Provider Mailing Address Detail
| Address | 3808 S. Greystone Ct. |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 65804 |
| Phone Number | 4178893332 |
| Fax Number | 4178811410 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2001029957 |
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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 Stacy A. Vienhage's unique identification number?
The Stacy A. Vienhage has been assigned the NPI (National Provider Identifier) Number 1972693638 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Stacy A. Vienhage?
The Stacy A. Vienhage is situated at 3808 S. Greystone Ct., in the city of Springfield, state of MO, with the zip code 65804.
What is Stacy A. Vienhage's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacy A. Vienhage is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When did Stacy A. Vienhage receive its 1972693638 assignment?
The Stacy A. Vienhage was assigned its 1972693638 on 2006-10-13, which is the date when this unique identifier was issued to the organization.
When was the Stacy A. Vienhage's information last updated?
The Stacy A. Vienhage's information was last updated on 2010-12-16.