Yevgeniy Gorivodskiy in Warren - Physician Assistant
Yevgeniy Gorivodskiy - NPI 1326125329
Yevgeniy Gorivodskiy is a Physician Assistant in Warren, Michigan. Yevgeniy Gorivodskiy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Yevgeniy Gorivodskiy is 1326125329. The last update date is 2020-11-25.
Yevgeniy Gorivodskiy's current location address is 13850 E 12 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5865524499 and fax number 5865524878. The mailing address for Yevgeniy Gorivodskiy is 13850 E 12 Mile Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yevgeniy Gorivodskiy |
|---|---|
| Address | 13850 E 12 Mile Rd, Warren, Michigan |
| Phone Number | 5865524499 |
| Fax Number | 5865524878 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1326125329 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-11-25 |
Provider Mailing Address Detail
| Address | 13850 E 12 Mile Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480883730 |
| Phone Number | 5865524499 |
| Fax Number | 5865524878 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004664 |
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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 identifier code issued to Yevgeniy Gorivodskiy by the Centers for Medicare & Medicaid Services (CMS)?
The Yevgeniy Gorivodskiy has been assigned the NPI (National Provider Identifier) 1326125329. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Yevgeniy Gorivodskiy?
The Yevgeniy Gorivodskiy is situated at 13850 E 12 Mile Rd, in the city of Warren, state of MI, with the zip code 480883730.
What is Yevgeniy Gorivodskiy's area of expertise and its corresponding taxonomy classification?
The Yevgeniy Gorivodskiy's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1326125329 to Yevgeniy Gorivodskiy?
The Centers for Medicare & Medicaid Services assigned the 1326125329 to Yevgeniy Gorivodskiy on 2006-11-01.
When was the information regarding Yevgeniy Gorivodskiy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Yevgeniy Gorivodskiy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-11-25.
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