John P Impastato in Colonial Heights - Physician Assistant
John P Impastato - NPI 1053319590
John P Impastato is a Physician Assistant in Colonial Heights, Virginia. John P Impastato practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John P Impastato is 1053319590. The last update date is 2020-07-24.
John P Impastato's current location address is 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, Virginia. You can contact this provider via phone number 8045265888 and fax number 8045265401. The mailing address for John P Impastato is 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P Impastato |
|---|---|
| Address | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, Virginia |
| Phone Number | 8045265888 |
| Fax Number | 8045265401 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053319590 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2020-07-24 |
Provider Mailing Address Detail
| Address | 325 Charles H Dimmock Pkwy Ste 100 |
|---|---|
| City | Colonial Heights |
| State | Virginia (VA) |
| Post Code | 238342986 |
| Phone Number | 8045265888 |
| Fax Number | 8045265401 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C06773 |
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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 |
|---|---|---|---|
| 1053319590 | VA | -- |
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What is the John P Impastato's unique identification number?
The John P Impastato has been assigned the NPI (National Provider Identifier) Number 1053319590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
When did the John P Impastato receive its 1053319590?
The John P Impastato was issued its 1053319590 on 2005-07-08, which is the date when the organization was assigned this unique identifier.
On what date did the John P Impastato receive its 1053319590 assignment from the Centers for Medicare & Medicaid Services?
The John P Impastato was assigned its 1053319590 by the Centers for Medicare & Medicaid Services on 2005-07-08.
As of what date were the John P Impastato's details last updated?
The information pertaining to the John P Impastato, including its address, specialty, and other details, was most recently updated on 2020-07-24.
As of what date were the details related to John P Impastato most recently updated or revised?
The information pertaining to John P Impastato, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-24.