Jessica T. Dodge in San Francisco - Surgical
Jessica T. Dodge - NPI 1306963772
Jessica T. Dodge is a Surgical in San Francisco, California. Jessica T. Dodge practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jessica T. Dodge is 1306963772. The last update date is 2010-06-18.
Jessica T. Dodge's current location address is 2727 Mariposa St Ste 100, San Francisco, California. You can contact this provider via phone number 4154373000 and fax number 4154373050. The mailing address for Jessica T. Dodge is 2727 Mariposa St Ste 100, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica T. Dodge |
|---|---|
| Address | 2727 Mariposa St Ste 100, San Francisco, California |
| Phone Number | 4154373000 |
| Fax Number | 4154373050 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1306963772 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2010-06-18 |
Provider Mailing Address Detail
| Address | 2727 Mariposa St Ste 100 |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941101400 |
| Phone Number | 4154373000 |
| Fax Number | 4154373050 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA16999 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107953 | SFGH INTERNAL USE ONLY-COMMERC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jessica T. Dodge?
The Jessica T. Dodge has been issued the NPI (National Provider Identifier) 1306963772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jessica T. Dodge's physical address?
The Jessica T. Dodge is physically located at 2727 Mariposa St Ste 100, in the city of San Francisco, CA, with the postal code 941101400.
What is Jessica T. Dodge's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica T. Dodge's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date did Jessica T. Dodge receive its 1306963772 assignment from the Centers for Medicare & Medicaid Services?
The Jessica T. Dodge was assigned its 1306963772 on 2007-03-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jessica T. Dodge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica T. Dodge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-18.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT