Fred Orlen Scruggs in Silverdale - Physician Assistant
Fred Orlen Scruggs - NPI 1245201466
Fred Orlen Scruggs is a Physician Assistant in Silverdale, Washington. Fred Orlen Scruggs practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Fred Orlen Scruggs is 1245201466. The last update date is 2019-04-11.
Fred Orlen Scruggs's current location address is 9621 Ridgetop Blvd Nw, Silverdale, Washington. You can contact this provider via phone number 3607823300. The mailing address for Fred Orlen Scruggs is 9621 Ridgetop Blvd Nw, Silverdale, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Orlen Scruggs |
|---|---|
| Address | 9621 Ridgetop Blvd Nw, Silverdale, Washington |
| Phone Number | 3607823300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1245201466 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2019-04-11 |
Provider Mailing Address Detail
| Address | 9621 Ridgetop Blvd Nw |
|---|---|
| City | Silverdale |
| State | Washington (WA) |
| Post Code | 983838502 |
| Phone Number | 3607823300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 unique 10-digit identifier code assigned to Fred Orlen Scruggs by the Centers for Medicare & Medicaid Services?
The Fred Orlen Scruggs has been issued the NPI (National Provider Identifier) 1245201466 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Fred Orlen Scruggs?
The Fred Orlen Scruggs is situated at 9621 Ridgetop Blvd Nw, in the city of Silverdale, state of WA, with the zip code 983838502.
What is the Fred Orlen Scruggs's area of specialization and corresponding taxonomy classification?
The Fred Orlen Scruggs's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1245201466 to Fred Orlen Scruggs?
The Fred Orlen Scruggs received its 1245201466 assignment from the Centers for Medicare & Medicaid Services on 2006-01-27.
As of what date were the details related to Fred Orlen Scruggs most recently updated or revised?
The information pertaining to Fred Orlen Scruggs, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-11.