Mary G Jahraus in Pierre - Physician Assistant
Mary G Jahraus - NPI 1689611212
Mary G Jahraus is a Physician Assistant in Pierre, South Dakota. Mary G Jahraus practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary G Jahraus is 1689611212. The last update date is 2012-04-13.
Mary G Jahraus's current location address is 100 Mac Lane, Pierre, South Dakota. You can contact this provider via phone number 6052247070 and fax number 6052242514. The mailing address for Mary G Jahraus is 100 Mac Lane, Pierre, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary G Jahraus |
|---|---|
| Address | 100 Mac Lane, Pierre, South Dakota |
| Phone Number | 6052247070 |
| Fax Number | 6052242514 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1689611212 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2012-04-13 |
Provider Mailing Address Detail
| Address | 100 Mac Lane |
|---|---|
| City | Pierre |
| State | South Dakota (SD) |
| Post Code | 57501 |
| Phone Number | 6052247070 |
| Fax Number | 6052242514 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 228 |
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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 |
|---|---|---|---|
| 3820713 | SD | -- | |
| 6820710 | SD | -- |
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What is the unique 10-digit identifier code issued to Mary G Jahraus by the Centers for Medicare & Medicaid Services?
The Mary G Jahraus has been assigned the NPI (National Provider Identifier) 1689611212 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mary G Jahraus located?
The Mary G Jahraus is located at 100 Mac Lane, Pierre, SD 57501.
What is Mary G Jahraus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary G Jahraus's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Mary G Jahraus receive the assignment of its 1689611212 from the Centers for Medicare & Medicaid Services?
The Mary G Jahraus was issued its 1689611212 by the Centers for Medicare & Medicaid Services on 2006-06-01.
As of what date were the details related to Mary G Jahraus most recently updated or revised?
The information pertaining to Mary G Jahraus, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-13.