Mary Theresa Bauer in Independence - Physician Assistant
Mary Theresa Bauer - NPI 1437147402
Mary Theresa Bauer is a Physician Assistant in Independence, Ohio. Mary Theresa Bauer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Theresa Bauer is 1437147402. The last update date is 2009-05-14.
Mary Theresa Bauer's current location address is 6701 Rockside Rd, Independence, Ohio. You can contact this provider via phone number 2163692525 and fax number 2163692531. The mailing address for Mary Theresa Bauer is 6701 Rockside Rd, Independence, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Theresa Bauer |
|---|---|
| Address | 6701 Rockside Rd, Independence, Ohio |
| Phone Number | 2163692525 |
| Fax Number | 2163692531 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1437147402 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2009-05-14 |
Provider Mailing Address Detail
| Address | 6701 Rockside Rd |
|---|---|
| City | Independence |
| State | Ohio (OH) |
| Post Code | 441312358 |
| Phone Number | 2163692525 |
| Fax Number | 2163692531 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1498 |
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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 |
|---|---|---|---|
| 493627 | OH | ANTHEM |
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What is the Mary Theresa Bauer's unique identification number?
The Mary Theresa Bauer has been assigned the NPI (National Provider Identifier) Number 1437147402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification code assigned to Mary Theresa Bauer by the Centers for Medicare & Medicaid Services?
The Mary Theresa Bauer has been issued the NPI (National Provider Identifier) 1437147402, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Mary Theresa Bauer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Theresa Bauer is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Mary Theresa Bauer receive its 1437147402?
The Mary Theresa Bauer was issued its 1437147402 on 2005-10-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mary Theresa Bauer most recently updated or revised?
The information pertaining to Mary Theresa Bauer, including its address, specialty, and other relevant details, was last updated or revised on 2009-05-14.