Mark B Mead is a Physician Assistant in Locke, New York. Mark B Mead practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark B Mead is 1407948029. The last update date is 2007-07-08.
Mark B Mead's current location address is 10813 State Route 90, Locke, New York. You can contact this provider via phone number 6078985827 and fax number 6078989726. The mailing address for Mark B Mead is 10813 State Route 90, Locke, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark B Mead |
|---|---|
| Address | 10813 State Route 90, Locke, New York |
| Phone Number | 6078985827 |
| Fax Number | 6078989726 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407948029 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10813 State Route 90 |
|---|---|
| City | Locke |
| State | New York (NY) |
| Post Code | 130923285 |
| Phone Number | 6078985827 |
| Fax Number | 6078989726 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 007106-1 |
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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 |
|---|---|---|---|
| 2055512 | NY | -- |
Post Comment/ Review Below
What is the Mark B Mead's unique identification number?
The Mark B Mead has been assigned the NPI (National Provider Identifier) Number 1407948029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mark B Mead located?
The Mark B Mead is located at 10813 State Route 90, Locke, NY 130923285.
What is Mark B Mead's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark B Mead's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did the Mark B Mead receive its 1407948029?
The Mark B Mead was issued its 1407948029 on 2006-09-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mark B Mead most recently updated or revised?
The information pertaining to Mark B Mead, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.