Stony Point Family Medicine Pa in Stony Point - Physician Assistant
Stony Point Family Medicine Pa - NPI 1225143936
Stony Point Family Medicine Pa is a Physician Assistant in Stony Point, North Carolina. Stony Point Family Medicine Pa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stony Point Family Medicine Pa is 1225143936. The last update date is 2013-07-24.
Stony Point Family Medicine Pa's current location address is 35 Ruritan Park Rd, Stony Point, North Carolina. You can contact this provider via phone number 7045859373 and fax number 7045859397. The mailing address for Stony Point Family Medicine Pa is 35 Ruritan Park Rd, Stony Point, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stony Point Family Medicine Pa |
|---|---|
| Address | 35 Ruritan Park Rd, Stony Point, North Carolina |
| Phone Number | 7045859373 |
| Fax Number | 7045859397 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Swedlund Robert |
| Credentials | PA |
| Telephone Number | 7045859373 |
NPI Number Detail
| NPI Number | 1225143936 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2013-07-24 |
Provider Mailing Address Detail
| Address | 35 Ruritan Park Rd |
|---|---|
| City | Stony Point |
| State | North Carolina (NC) |
| Post Code | 286788928 |
| Phone Number | 7045859373 |
| Fax Number | 7045859397 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 |
|---|---|---|---|
| 014Y5 | NC | BCBS OF NC | |
| 8103117 | NC | -- | |
| I679 | NC | PARTNERS |
Post Comment/ Review Below
What is the unique identifier code issued to Stony Point Family Medicine Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Stony Point Family Medicine Pa has been assigned the NPI (National Provider Identifier) 1225143936. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Stony Point Family Medicine Pa is physically located?
The Stony Point Family Medicine Pa is physically situated at the following address: 35 Ruritan Park Rd, Stony Point, NC, 286788928.
What is Stony Point Family Medicine Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stony Point Family Medicine Pa is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225143936 to Stony Point Family Medicine Pa?
The Centers for Medicare & Medicaid Services originally issued the 1225143936 to Stony Point Family Medicine Pa on 2006-08-20.
As of what date were the details pertaining to Stony Point Family Medicine Pa last refreshed?
The information related to the Stony Point Family Medicine Pa, including its address, specialty, and other relevant details, was last updated on 2013-07-24.