Jose Medina in Oklahoma City - Physician Assistant
Jose Medina - NPI 1972643534
Jose Medina is a Physician Assistant in Oklahoma City, Oklahoma. Jose Medina practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jose Medina is 1972643534. The last update date is 2014-05-02.
Jose Medina's current location address is 4300 W Memorial Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057523733 and fax number 4057494557. The mailing address for Jose Medina is 4300 W Memorial Rd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose Medina |
|---|---|
| Address | 4300 W Memorial Rd, Oklahoma City, Oklahoma |
| Phone Number | 4057523733 |
| Fax Number | 4057494557 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1972643534 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2014-05-02 |
Provider Mailing Address Detail
| Address | 4300 W Memorial Rd |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731208304 |
| Phone Number | 4057523733 |
| Fax Number | 4057494557 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1575 |
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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 |
|---|---|---|---|
| 200105850A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jose Medina by the Centers for Medicare & Medicaid Services?
The Jose Medina has been assigned the NPI (National Provider Identifier) 1972643534 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jose Medina is physically located?
The Jose Medina is physically situated at the following address: 4300 W Memorial Rd, Oklahoma City, OK, 731208304.
What is Jose Medina's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jose Medina's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Jose Medina receive its 1972643534 assignment from the Centers for Medicare & Medicaid Services?
The Jose Medina was assigned its 1972643534 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jose Medina's details last updated?
The information pertaining to the Jose Medina, including its address, specialty, and other details, was most recently updated on 2014-05-02.
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