Katie Jackley is a Surgical in Pittsburgh, Pennsylvania. Katie Jackley practices all healthcare services and medical treatments related to Surgical. The NPI Number for Katie Jackley is 1184680167. The last update date is 2021-07-28.
Katie Jackley's current location address is 320 E North Ave Ste 208, Pittsburgh, Pennsylvania. You can contact this provider via phone number 4123596200 and fax number 4123596617. The mailing address for Katie Jackley is 320 E North Ave Ste 208, Pittsburgh, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katie Jackley |
|---|---|
| Address | 320 E North Ave Ste 208, Pittsburgh, Pennsylvania |
| Phone Number | 4123596200 |
| Fax Number | 4123596617 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1184680167 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2021-07-28 |
Provider Mailing Address Detail
| Address | 320 E North Ave Ste 208 |
|---|---|
| City | Pittsburgh |
| State | Pennsylvania (PA) |
| Post Code | 152124756 |
| Phone Number | 4123596200 |
| Fax Number | 4123596617 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA18658 |
|
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 |
|---|---|---|---|
| 11680171 | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Katie Jackley by the Centers for Medicare & Medicaid Services (CMS)?
The Katie Jackley has been assigned the NPI (National Provider Identifier) 1184680167. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Katie Jackley's physical address?
The Katie Jackley is physically located at 320 E North Ave Ste 208, in the city of Pittsburgh, PA, with the postal code 152124756.
What is Katie Jackley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Katie Jackley's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
On what date did the Katie Jackley receive its 1184680167 assignment from the Centers for Medicare & Medicaid Services?
The Katie Jackley was assigned its 1184680167 by the Centers for Medicare & Medicaid Services on 2006-04-26.
As of what date was the information pertaining to Katie Jackley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Katie Jackley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-07-28.
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