Tracey D Matejka in Independence - Physician Assistant
Tracey D Matejka - NPI 1568562726
Tracey D Matejka is a Physician Assistant in Independence, Ohio. Tracey D Matejka practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracey D Matejka is 1568562726. The last update date is 2007-07-08.
Tracey D Matejka's current location address is 6000 W Creek Rd, Independence, Ohio. You can contact this provider via phone number 2169861314 and fax number 2169861191. The mailing address for Tracey D Matejka is 6000 W Creek Rd, Independence, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey D Matejka |
|---|---|
| Address | 6000 W Creek Rd, Independence, Ohio |
| Phone Number | 2169861314 |
| Fax Number | 2169861191 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1568562726 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6000 W Creek Rd |
|---|---|
| City | Independence |
| State | Ohio (OH) |
| Post Code | 441312139 |
| Phone Number | 2169861314 |
| Fax Number | 2169861191 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50001001 |
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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 unique 10-digit identification code issued to Tracey D Matejka by the Centers for Medicare & Medicaid Services?
The Tracey D Matejka has been assigned the NPI (National Provider Identifier) 1568562726 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Tracey D Matejka's physical address?
The Tracey D Matejka is physically located at 6000 W Creek Rd, in the city of Independence, OH, with the postal code 441312139.
What is the area of specialization for Tracey D Matejka, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tracey D Matejka is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Tracey D Matejka receive the assignment of its 1568562726 from the Centers for Medicare & Medicaid Services?
The Tracey D Matejka was issued its 1568562726 by the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the information related to Tracey D Matejka most recently updated or refreshed?
The details pertaining to the Tracey D Matejka, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.