Johnathon Chisum in Fishersville - Physician Assistant
Johnathon Chisum - NPI 1538104138
Johnathon Chisum is a Physician Assistant in Fishersville, Virginia. Johnathon Chisum practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Johnathon Chisum is 1538104138. The last update date is 2023-06-22.
Johnathon Chisum's current location address is 70 Medical Center Cir Ste 103, Fishersville, Virginia. You can contact this provider via phone number 5402457400 and fax number 5402457401. The mailing address for Johnathon Chisum is 70 Medical Center Cir Ste 103, Fishersville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnathon Chisum |
|---|---|
| Address | 70 Medical Center Cir Ste 103, Fishersville, Virginia |
| Phone Number | 5402457400 |
| Fax Number | 5402457401 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1538104138 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2023-06-22 |
Provider Mailing Address Detail
| Address | 70 Medical Center Cir Ste 103 |
|---|---|
| City | Fishersville |
| State | Virginia (VA) |
| Post Code | 229392273 |
| Phone Number | 5402457400 |
| Fax Number | 5402457401 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110001268 |
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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 Johnathon Chisum's 1538104138?
The Johnathon Chisum's NPI (National Provider Identifier) Number is 1538104138. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Johnathon Chisum located?
The Johnathon Chisum is located at 70 Medical Center Cir Ste 103, Fishersville, VA 229392273.
What is the Johnathon Chisum's specialty and taxonomy code?
The Johnathon Chisum's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Johnathon Chisum's 1538104138 issued?
The Johnathon Chisum's 1538104138 was issued on 2006-06-18.
On what date did the Centers for Medicare & Medicaid Services issue the 1538104138 to Johnathon Chisum?
The Johnathon Chisum received its 1538104138 assignment from the Centers for Medicare & Medicaid Services on 2006-06-18.
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