Matthew S Bertus in Oklahoma City - Physician Assistant
Matthew S Bertus - NPI 1093706368
Matthew S Bertus is a Physician Assistant in Oklahoma City, Oklahoma. Matthew S Bertus practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Matthew S Bertus is 1093706368. The last update date is 2011-02-17.
Matthew S Bertus's current location address is Po Box 268919, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056083800 and fax number 4056083838. The mailing address for Matthew S Bertus is Po Box 268919, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew S Bertus |
|---|---|
| Address | Po Box 268919, Oklahoma City, Oklahoma |
| Phone Number | 4056083800 |
| Fax Number | 4056083838 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1093706368 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2011-02-17 |
Provider Mailing Address Detail
| Address | Po Box 268919 |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731268919 |
| Phone Number | 4056083800 |
| Fax Number | 4056083838 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 861 |
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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 |
|---|---|---|---|
| 10011900A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew S Bertus by the Centers for Medicare & Medicaid Services (CMS)?
The Matthew S Bertus has been assigned the NPI (National Provider Identifier) 1093706368. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Matthew S Bertus's facilities are geographically located?
The facilities of Matthew S Bertus are physically situated at the following location: Po Box 268919, Oklahoma City, OK, 731268919.
What is the Matthew S Bertus's area of specialization and corresponding taxonomy classification?
The Matthew S Bertus's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093706368 to Matthew S Bertus?
The Centers for Medicare & Medicaid Services originally issued the 1093706368 to Matthew S Bertus on 2005-11-04.
As of what date were the Matthew S Bertus's details last updated?
The information pertaining to the Matthew S Bertus, including its address, specialty, and other details, was most recently updated on 2011-02-17.
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