Jeffrey Scott Walter in Oklahoma City - Physician Assistant
Jeffrey Scott Walter - NPI 1184622144
Jeffrey Scott Walter is a Physician Assistant in Oklahoma City, Oklahoma. Jeffrey Scott Walter practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey Scott Walter is 1184622144. The last update date is 2019-08-09.
Jeffrey Scott Walter's current location address is 9600 Broadway Ext, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052309000 and fax number 4052309175. The mailing address for Jeffrey Scott Walter is 9600 Broadway Ext, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Scott Walter |
|---|---|
| Address | 9600 Broadway Ext, Oklahoma City, Oklahoma |
| Phone Number | 4052309000 |
| Fax Number | 4052309175 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184622144 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2019-08-09 |
Provider Mailing Address Detail
| Address | 9600 Broadway Ext |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731147408 |
| Phone Number | 4052309000 |
| Fax Number | 4052309175 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1029 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100193800A | OK | -- | |
| 970016143 | OK | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey Scott Walter?
The Jeffrey Scott Walter has been issued the NPI (National Provider Identifier) 1184622144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jeffrey Scott Walter is physically located?
The Jeffrey Scott Walter is situated at the following address: 9600 Broadway Ext, Oklahoma City, OK 731147408.
What is Jeffrey Scott Walter's area of expertise and its corresponding taxonomy classification?
The Jeffrey Scott Walter'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.
When did the Jeffrey Scott Walter receive its 1184622144?
The Jeffrey Scott Walter was issued its 1184622144 on 2005-07-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jeffrey Scott Walter last refreshed?
The information related to the Jeffrey Scott Walter, including its address, specialty, and other relevant details, was last updated on 2019-08-09.