Ralph Eugene Fountain in Oklahoma City - Physician Assistant
Ralph Eugene Fountain - NPI 1578562328
Ralph Eugene Fountain is a Physician Assistant in Oklahoma City, Oklahoma. Ralph Eugene Fountain practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ralph Eugene Fountain is 1578562328. The last update date is 2017-12-28.
Ralph Eugene Fountain's current location address is 9600 Broadway Ext, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052309000 and fax number 4052309157. The mailing address for Ralph Eugene Fountain is 9600 Broadway Ext, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ralph Eugene Fountain |
|---|---|
| Address | 9600 Broadway Ext, Oklahoma City, Oklahoma |
| Phone Number | 4052309000 |
| Fax Number | 4052309157 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1578562328 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2017-12-28 |
Provider Mailing Address Detail
| Address | 9600 Broadway Ext |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731147408 |
| Phone Number | 4052309000 |
| Fax Number | 4052309157 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA498 |
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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 |
|---|---|---|---|
| 1000906304 | OK | -- | |
| P00155699 | OK | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ralph Eugene Fountain by the Centers for Medicare & Medicaid Services?
The Ralph Eugene Fountain has been issued the NPI (National Provider Identifier) 1578562328 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ralph Eugene Fountain's facilities are situated?
The facilities of Ralph Eugene Fountain are physically located at the following address: 9600 Broadway Ext, Oklahoma City, OK, 731147408.
What is the area of specialization for Ralph Eugene Fountain, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ralph Eugene Fountain is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did Ralph Eugene Fountain receive its 1578562328 assignment?
The Ralph Eugene Fountain was assigned its 1578562328 on 2005-07-14, which is the date when this unique identifier was issued to the organization.
As of what date were the Ralph Eugene Fountain's details last updated?
The information pertaining to the Ralph Eugene Fountain, including its address, specialty, and other details, was most recently updated on 2017-12-28.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA