Travis Jerard Baisden in Norfolk - Physician Assistant
Travis Jerard Baisden - NPI 1316123359
Travis Jerard Baisden is a Physician Assistant in Norfolk, Virginia. Travis Jerard Baisden practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Travis Jerard Baisden is 1316123359. The last update date is 2022-09-14.
Travis Jerard Baisden's current location address is 1721 Admiral Taussig Blvd, Norfolk, Virginia. You can contact this provider via phone number 7579539000. The mailing address for Travis Jerard Baisden is 1721 Admiral Taussig Blvd, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Travis Jerard Baisden |
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Address | 1721 Admiral Taussig Blvd, Norfolk, Virginia |
Phone Number | 7579539000 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHYSICIAN |
NPI Number Detail
NPI Number | 1316123359 |
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Provider Enumeration Date | 2008-01-20 |
Last Updated Date | 2022-09-14 |
Provider Mailing Address Detail
Address | 1721 Admiral Taussig Blvd |
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City | Norfolk |
State | Virginia (VA) |
Post Code | 235112802 |
Phone Number | 7579539000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 110008196 |
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 unique 10-digit identification code assigned to Travis Jerard Baisden by the Centers for Medicare & Medicaid Services?
The Travis Jerard Baisden has been issued the NPI (National Provider Identifier) 1316123359, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Travis Jerard Baisden's physical address?
The Travis Jerard Baisden is physically located at 1721 Admiral Taussig Blvd, in the city of Norfolk, VA, with the postal code 235112802.
What is Travis Jerard Baisden'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 Travis Jerard Baisden is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did Travis Jerard Baisden receive its 1316123359 assignment?
The Travis Jerard Baisden was assigned its 1316123359 on 2008-01-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Travis Jerard Baisden's details last updated?
The information pertaining to the Travis Jerard Baisden, including its address, specialty, and other details, was most recently updated on 2022-09-14.