Theodore Brian Bakowicz in Monroeville - Physician Assistant
Theodore Brian Bakowicz - NPI 1194799072
Theodore Brian Bakowicz is a Physician Assistant in Monroeville, Pennsylvania. Theodore Brian Bakowicz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theodore Brian Bakowicz is 1194799072. The last update date is 2023-09-18.
Theodore Brian Bakowicz's current location address is 2580 Haymaker Rd Ste 304, Monroeville, Pennsylvania. You can contact this provider via phone number 4128583070. The mailing address for Theodore Brian Bakowicz is 2580 Haymaker Rd Ste 304, Monroeville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Brian Bakowicz |
|---|---|
| Address | 2580 Haymaker Rd Ste 304, Monroeville, Pennsylvania |
| Phone Number | 4128583070 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1194799072 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2023-09-18 |
Provider Mailing Address Detail
| Address | 2580 Haymaker Rd Ste 304 |
|---|---|
| City | Monroeville |
| State | Pennsylvania (PA) |
| Post Code | 151463500 |
| Phone Number | 4128583070 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA003437L |
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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 |
|---|---|---|---|
| 13639468 | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Theodore Brian Bakowicz by the Centers for Medicare & Medicaid Services?
The Theodore Brian Bakowicz has been issued the NPI (National Provider Identifier) 1194799072, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Theodore Brian Bakowicz?
The Theodore Brian Bakowicz is situated at 2580 Haymaker Rd Ste 304, in the city of Monroeville, state of PA, with the zip code 151463500.
What is Theodore Brian Bakowicz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theodore Brian Bakowicz's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did the Theodore Brian Bakowicz receive its 1194799072?
The Theodore Brian Bakowicz was issued its 1194799072 on 2006-02-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Theodore Brian Bakowicz most recently updated or revised?
The information pertaining to Theodore Brian Bakowicz, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-18.
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