Mikhail V Domnine in Sewickley - Physician Assistant
Mikhail V Domnine - NPI 1659453454
Mikhail V Domnine is a Physician Assistant in Sewickley, Pennsylvania. Mikhail V Domnine practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mikhail V Domnine is 1659453454. The last update date is 2013-12-03.
Mikhail V Domnine's current location address is 1099 Ohio River Blvd, Sewickley, Pennsylvania. You can contact this provider via phone number 4127415670 and fax number 4127418041. The mailing address for Mikhail V Domnine is 1099 Ohio River Blvd, Sewickley, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mikhail V Domnine |
|---|---|
| Address | 1099 Ohio River Blvd, Sewickley, Pennsylvania |
| Phone Number | 4127415670 |
| Fax Number | 4127418041 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1659453454 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2013-12-03 |
Provider Mailing Address Detail
| Address | 1099 Ohio River Blvd |
|---|---|
| City | Sewickley |
| State | Pennsylvania (PA) |
| Post Code | 151432056 |
| Phone Number | 4127415670 |
| Fax Number | 4127418041 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA052604 |
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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 |
|---|---|---|---|
| 2687 | NC | EVOLUTIONS HEALTHCARE SYSTEMS | |
| 164XJ | NC | BCBSNC | |
| 7790899 | NC | AETNA |
Post Comment/ Review Below
What is the Mikhail V Domnine's unique identification number?
The Mikhail V Domnine has been assigned the NPI (National Provider Identifier) Number 1659453454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mikhail V Domnine's facilities are geographically located?
The facilities of Mikhail V Domnine are physically situated at the following location: 1099 Ohio River Blvd, Sewickley, PA, 151432056.
What is Mikhail V Domnine's area of expertise and its corresponding taxonomy classification?
The Mikhail V Domnine's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659453454 to Mikhail V Domnine?
The Centers for Medicare & Medicaid Services originally issued the 1659453454 to Mikhail V Domnine on 2006-10-20.
As of what date was the information regarding Mikhail V Domnine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mikhail V Domnine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-12-03.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY