Tamara Martin in Johnson City - Physician Assistant
Tamara Martin - NPI 1972594117
Tamara Martin is a Physician Assistant in Johnson City, New York. Tamara Martin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tamara Martin is 1972594117. The last update date is 2012-03-15.
Tamara Martin's current location address is 30 Harrison St, Johnson City, New York. You can contact this provider via phone number 6077638100 and fax number 6077638048. The mailing address for Tamara Martin is 30 Harrison St, Johnson City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara Martin |
|---|---|
| Address | 30 Harrison St, Johnson City, New York |
| Phone Number | 6077638100 |
| Fax Number | 6077638048 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1972594117 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2012-03-15 |
Provider Mailing Address Detail
| Address | 30 Harrison St |
|---|---|
| City | Johnson City |
| State | New York (NY) |
| Post Code | 137902161 |
| Phone Number | 6077638100 |
| Fax Number | 6077638048 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9766 |
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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 |
|---|---|---|---|
| 2528027 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tamara Martin by the Centers for Medicare & Medicaid Services?
The Tamara Martin has been assigned the NPI (National Provider Identifier) 1972594117. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tamara Martin is physically located?
The Tamara Martin is physically situated at the following address: 30 Harrison St, Johnson City, NY, 137902161.
What is Tamara Martin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tamara Martin's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Tamara Martin receive the assignment of its 1972594117 from the Centers for Medicare & Medicaid Services?
The Tamara Martin was issued its 1972594117 by the Centers for Medicare & Medicaid Services on 2005-11-04.
When was the information related to Tamara Martin most recently updated or refreshed?
The details pertaining to the Tamara Martin, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-03-15.