Mary Kay Fadden in Madison - Physician Assistant
Mary Kay Fadden - NPI 1265418966
Mary Kay Fadden is a Physician Assistant in Madison, Tennessee. Mary Kay Fadden practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Kay Fadden is 1265418966. The last update date is 2010-12-16.
Mary Kay Fadden's current location address is 601 W Due West Ave, Madison, Tennessee. You can contact this provider via phone number 6154253333 and fax number 6154253348. The mailing address for Mary Kay Fadden is 601 W Due West Ave, Madison, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kay Fadden |
|---|---|
| Address | 601 W Due West Ave, Madison, Tennessee |
| Phone Number | 6154253333 |
| Fax Number | 6154253348 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1265418966 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2010-12-16 |
Provider Mailing Address Detail
| Address | 601 W Due West Ave |
|---|---|
| City | Madison |
| State | Tennessee (TN) |
| Post Code | 371154423 |
| Phone Number | 6154253333 |
| Fax Number | 6154253348 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA0000001679 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary Kay Fadden by the Centers for Medicare & Medicaid Services?
The Mary Kay Fadden has been assigned the NPI (National Provider Identifier) 1265418966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Mary Kay Fadden is physically located?
The Mary Kay Fadden is situated at the following address: 601 W Due West Ave, Madison, TN 371154423.
What is the Mary Kay Fadden's area of specialization and corresponding taxonomy classification?
The Mary Kay Fadden's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mary Kay Fadden receive the assignment of its 1265418966 from the Centers for Medicare & Medicaid Services?
The Mary Kay Fadden was issued its 1265418966 by the Centers for Medicare & Medicaid Services on 2005-12-15.
When was the information regarding Mary Kay Fadden most recently updated?
The details pertaining to the Mary Kay Fadden, including its address, specialty, and other relevant information, were last refreshed on 2010-12-16.