Jeffrey Scott Berthot in Nacogdoches - Physician Assistant
Jeffrey Scott Berthot - NPI 1932294550
Jeffrey Scott Berthot is a Physician Assistant in Nacogdoches, Texas. Jeffrey Scott Berthot practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey Scott Berthot is 1932294550. The last update date is 2010-06-02.
Jeffrey Scott Berthot's current location address is 4800 Ne Stallings Dr, Nacogdoches, Texas. You can contact this provider via phone number 9365699443. The mailing address for Jeffrey Scott Berthot is 4800 Ne Stallings Dr, Nacogdoches, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Scott Berthot |
|---|---|
| Address | 4800 Ne Stallings Dr, Nacogdoches, Texas |
| Phone Number | 9365699443 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1932294550 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2010-06-02 |
Provider Mailing Address Detail
| Address | 4800 Ne Stallings Dr |
|---|---|
| City | Nacogdoches |
| State | Texas (TX) |
| Post Code | 759651249 |
| Phone Number | 9365699443 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04204 |
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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 identification code assigned to Jeffrey Scott Berthot by the Centers for Medicare & Medicaid Services?
The Jeffrey Scott Berthot has been issued the NPI (National Provider Identifier) 1932294550. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jeffrey Scott Berthot is physically located?
The Jeffrey Scott Berthot is physically situated at the following address: 4800 Ne Stallings Dr, Nacogdoches, TX, 759651249.
What is the area of specialization for Jeffrey Scott Berthot, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeffrey Scott Berthot is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Jeffrey Scott Berthot receive the assignment of its 1932294550 from the Centers for Medicare & Medicaid Services?
The Jeffrey Scott Berthot was issued its 1932294550 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information regarding Jeffrey Scott Berthot most recently updated?
The details pertaining to the Jeffrey Scott Berthot, including its address, specialty, and other relevant information, were last refreshed on 2010-06-02.