Deaconess Family Care West Hefner in Oklahoma City - Physician Assistant
Deaconess Family Care West Hefner - NPI 1811006455
Deaconess Family Care West Hefner is a Physician Assistant in Oklahoma City, Oklahoma. Deaconess Family Care West Hefner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Deaconess Family Care West Hefner is 1811006455. The last update date is 2012-03-07.
Deaconess Family Care West Hefner's current location address is 7221 W Hefner Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4054706900 and fax number 4054706900. The mailing address for Deaconess Family Care West Hefner is 7221 W Hefner Rd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Deaconess Family Care West Hefner |
|---|---|
| Address | 7221 W Hefner Rd, Oklahoma City, Oklahoma |
| Phone Number | 4054706900 |
| Fax Number | 4054706900 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nassar N. Waddah |
| Credentials | MD |
| Telephone Number | 4054706900 |
NPI Number Detail
| NPI Number | 1811006455 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2012-03-07 |
Provider Mailing Address Detail
| Address | 7221 W Hefner Rd |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731624505 |
| Phone Number | 4054706900 |
| Fax Number | 4054706900 |
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 |
|---|---|---|---|
| 200017560A | OK | -- | |
| 20-0276256-001 | OK | BC/BC GROUP # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Deaconess Family Care West Hefner by the Centers for Medicare & Medicaid Services?
The Deaconess Family Care West Hefner has been issued the NPI (National Provider Identifier) 1811006455, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Deaconess Family Care West Hefner's facilities are situated?
The facilities of Deaconess Family Care West Hefner are physically located at the following address: 7221 W Hefner Rd, Oklahoma City, OK, 731624505.
What is Deaconess Family Care West Hefner's area of expertise and its corresponding taxonomy classification?
The Deaconess Family Care West Hefner's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Deaconess Family Care West Hefner receive the assignment of its 1811006455 from the Centers for Medicare & Medicaid Services?
The Deaconess Family Care West Hefner was issued its 1811006455 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the Deaconess Family Care West Hefner's details last updated?
The information pertaining to the Deaconess Family Care West Hefner, including its address, specialty, and other details, was most recently updated on 2012-03-07.