Jonathan Dean Medeck in Rapid City - Physician Assistant
Jonathan Dean Medeck - NPI 1467426387
Jonathan Dean Medeck is a Physician Assistant in Rapid City, South Dakota. Jonathan Dean Medeck practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jonathan Dean Medeck is 1467426387. The last update date is 2018-03-02.
Jonathan Dean Medeck's current location address is Po Box 3468, Rapid City, South Dakota. You can contact this provider via phone number 6053438000 and fax number 6053438262. The mailing address for Jonathan Dean Medeck is Po Box 3468, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jonathan Dean Medeck |
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Address | Po Box 3468, Rapid City, South Dakota |
Phone Number | 6053438000 |
Fax Number | 6053438262 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1467426387 |
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Provider Enumeration Date | 2006-02-15 |
Last Updated Date | 2018-03-02 |
Provider Mailing Address Detail
Address | Po Box 3468 |
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City | Rapid City |
State | South Dakota (SD) |
Post Code | 577093468 |
Phone Number | 6053438000 |
Fax Number | 6053438262 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 361 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
70013292 | SD | RAILROAD MEDICARE | |
6826630 | SD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jonathan Dean Medeck?
The Jonathan Dean Medeck has been issued the NPI (National Provider Identifier) 1467426387 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jonathan Dean Medeck is geographically located?
The Jonathan Dean Medeck is physically situated at the following location: Po Box 3468, Rapid City, SD, 577093468.
What is Jonathan Dean Medeck's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan Dean Medeck's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did Jonathan Dean Medeck receive its 1467426387 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Dean Medeck was assigned its 1467426387 on 2006-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jonathan Dean Medeck most recently updated or revised?
The details related to Jonathan Dean Medeck, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-02.