Jason Edward Fender in Salem - Physician Assistant

Jason Edward Fender - NPI 1114957230

Jason Edward Fender is a Physician Assistant in Salem, Virginia. Jason Edward Fender practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason Edward Fender is 1114957230. The last update date is 2011-11-28.

Jason Edward Fender's current location address is 1970 Roanoke Blvd, Salem, Virginia. You can contact this provider via phone number 5409822463 and fax number 5402241948. The mailing address for Jason Edward Fender is 1970 Roanoke Blvd, Salem, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Edward Fender
Address 1970 Roanoke Blvd, Salem, Virginia
Phone Number 5409822463
Fax Number 5402241948
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1114957230
Provider Enumeration Date 2006-07-04
Last Updated Date 2011-11-28

Provider Mailing Address Detail

Address 1970 Roanoke Blvd
City Salem
State Virginia (VA)
Post Code 241536404
Phone Number 5409822463
Fax Number 5402241948

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 110001026
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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FAQs about Jason Edward Fender

What is the unique identifier code issued to Jason Edward Fender by the Centers for Medicare & Medicaid Services (CMS)?

The Jason Edward Fender has been assigned the NPI (National Provider Identifier) 1114957230. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jason Edward Fender?

The Jason Edward Fender is physically situated at 1970 Roanoke Blvd, in the city of Salem, state of VA, with the postal code 241536404.

What is the area of specialization for Jason Edward Fender, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jason Edward Fender is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1114957230 to Jason Edward Fender?

The Jason Edward Fender received its 1114957230 assignment from the Centers for Medicare & Medicaid Services on 2006-07-04.

When was the Jason Edward Fender's information last updated?

The Jason Edward Fender's information was last updated on 2011-11-28.

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