Jason H Wardell is a Surgical in Little Rock, Arkansas. Jason H Wardell practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jason H Wardell is 1396709150. The last update date is 2015-02-03.
Jason H Wardell's current location address is 10301 Kanis Rd, Little Rock, Arkansas. You can contact this provider via phone number 5016046900 and fax number 5016046941. The mailing address for Jason H Wardell is 10301 Kanis Rd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jason H Wardell |
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Address | 10301 Kanis Rd, Little Rock, Arkansas |
Phone Number | 5016046900 |
Fax Number | 5016046941 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1396709150 |
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Provider Enumeration Date | 2006-04-17 |
Last Updated Date | 2015-02-03 |
Provider Mailing Address Detail
Address | 10301 Kanis Rd |
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City | Little Rock |
State | Arkansas (AR) |
Post Code | 722056205 |
Phone Number | 5016046900 |
Fax Number | 5016046941 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA235 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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204192795 | AR | -- |
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What is the unique 10-digit identifier code issued to Jason H Wardell by the Centers for Medicare & Medicaid Services?
The Jason H Wardell has been assigned the NPI (National Provider Identifier) 1396709150 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jason H Wardell located?
The Jason H Wardell is located at 10301 Kanis Rd, Little Rock, AR 722056205.
What is Jason H Wardell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason H Wardell is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396709150 to Jason H Wardell?
The Centers for Medicare & Medicaid Services originally issued the 1396709150 to Jason H Wardell on 2006-04-17.
As of what date were the details related to Jason H Wardell most recently updated or revised?
The information pertaining to Jason H Wardell, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-03.