Suzanne M Shimaitis in Lebanon - Physician Assistant
Suzanne M Shimaitis - NPI 1285718874
Suzanne M Shimaitis is a Physician Assistant in Lebanon, Tennessee. Suzanne M Shimaitis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Suzanne M Shimaitis is 1285718874. The last update date is 2022-03-08.
Suzanne M Shimaitis's current location address is 702 S Cumberland St, Lebanon, Tennessee. You can contact this provider via phone number 6154442121 and fax number 6155476474. The mailing address for Suzanne M Shimaitis is 702 S Cumberland St, Lebanon, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne M Shimaitis |
|---|---|
| Address | 702 S Cumberland St, Lebanon, Tennessee |
| Phone Number | 6154442121 |
| Fax Number | 6155476474 |
| Sole Proprietor | N |
| Credentials | P.A.C. |
NPI Number Detail
| NPI Number | 1285718874 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2022-03-08 |
Provider Mailing Address Detail
| Address | 702 S Cumberland St |
|---|---|
| City | Lebanon |
| State | Tennessee (TN) |
| Post Code | 370874110 |
| Phone Number | 6154442121 |
| Fax Number | 6155476474 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-002827 |
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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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What is the Suzanne M Shimaitis's unique identification number?
The Suzanne M Shimaitis has been assigned the NPI (National Provider Identifier) Number 1285718874 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Suzanne M Shimaitis located?
The Suzanne M Shimaitis is located at 702 S Cumberland St, Lebanon, TN 370874110.
What is Suzanne M Shimaitis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Suzanne M Shimaitis is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285718874 to Suzanne M Shimaitis?
The Suzanne M Shimaitis received its 1285718874 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date were the Suzanne M Shimaitis's details last updated?
The information pertaining to the Suzanne M Shimaitis, including its address, specialty, and other details, was most recently updated on 2022-03-08.