Jordan Ryan Williams in Santa Maria - Physician Assistant
Jordan Ryan Williams - NPI 1003090697
Jordan Ryan Williams is a Physician Assistant in Santa Maria, California. Jordan Ryan Williams practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jordan Ryan Williams is 1003090697. The last update date is 2008-04-07.
Jordan Ryan Williams's current location address is 1400 E Church St, Santa Maria, California. You can contact this provider via phone number 8057393000. The mailing address for Jordan Ryan Williams is 1400 E Church St, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Ryan Williams |
|---|---|
| Address | 1400 E Church St, Santa Maria, California |
| Phone Number | 8057393000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1003090697 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
| Address | 1400 E Church St |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 934545906 |
| Phone Number | 8057393000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19499 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA19499 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jordan Ryan Williams by the Centers for Medicare & Medicaid Services (CMS)?
The Jordan Ryan Williams has been assigned the NPI (National Provider Identifier) 1003090697. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jordan Ryan Williams's facilities are situated?
The facilities of Jordan Ryan Williams are physically located at the following address: 1400 E Church St, Santa Maria, CA, 934545906.
What is Jordan Ryan Williams's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jordan Ryan Williams's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003090697 to Jordan Ryan Williams?
The Centers for Medicare & Medicaid Services originally issued the 1003090697 to Jordan Ryan Williams on 2007-12-19.
As of what date were the details related to Jordan Ryan Williams most recently updated or revised?
The information pertaining to Jordan Ryan Williams, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-07.