Wade Bittle is a Physician Assistant in Shawnee, Oklahoma. Wade Bittle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wade Bittle is 1154508976. The last update date is 2009-01-12.
Wade Bittle's current location address is 1102 W Macarthur St, Shawnee, Oklahoma. You can contact this provider via phone number 4052732270. The mailing address for Wade Bittle is 1102 W Macarthur St, Shawnee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wade Bittle |
|---|---|
| Address | 1102 W Macarthur St, Shawnee, Oklahoma |
| Phone Number | 4052732270 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1154508976 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2009-01-12 |
Provider Mailing Address Detail
| Address | 1102 W Macarthur St |
|---|---|
| City | Shawnee |
| State | Oklahoma (OK) |
| Post Code | 748041743 |
| Phone Number | 4052732270 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1681 |
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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 |
|---|---|---|---|
| 200135230A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wade Bittle by the Centers for Medicare & Medicaid Services?
The Wade Bittle has been issued the NPI (National Provider Identifier) 1154508976, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wade Bittle's physical address?
The Wade Bittle is physically located at 1102 W Macarthur St, in the city of Shawnee, OK, with the postal code 748041743.
What is the area of specialization for Wade Bittle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wade Bittle is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Wade Bittle receive the assignment of its 1154508976 from the Centers for Medicare & Medicaid Services?
The Wade Bittle was issued its 1154508976 by the Centers for Medicare & Medicaid Services on 2008-01-23.
When was the Wade Bittle's information last updated?
The Wade Bittle's information was last updated on 2009-01-12.
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