Yuri Olaf Rivera in Purvis - Physician Assistant
Yuri Olaf Rivera - NPI 1699836791
Yuri Olaf Rivera is a Physician Assistant in Purvis, Mississippi. Yuri Olaf Rivera practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Yuri Olaf Rivera is 1699836791. The last update date is 2020-07-23.
Yuri Olaf Rivera's current location address is 101 Weems St, Purvis, Mississippi. You can contact this provider via phone number 6017942224 and fax number 6017946392. The mailing address for Yuri Olaf Rivera is 101 Weems St, Purvis, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yuri Olaf Rivera |
|---|---|
| Address | 101 Weems St, Purvis, Mississippi |
| Phone Number | 6017942224 |
| Fax Number | 6017946392 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1699836791 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2020-07-23 |
Provider Mailing Address Detail
| Address | 101 Weems St |
|---|---|
| City | Purvis |
| State | Mississippi (MS) |
| Post Code | 394754062 |
| Phone Number | 6017942224 |
| Fax Number | 6017946392 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00120 |
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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 |
|---|---|---|---|
| 9116618 | MS | AETNA | |
| 9075224 | MS | -- | |
| 5300264 | MS | CIGNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Yuri Olaf Rivera by the Centers for Medicare & Medicaid Services?
The Yuri Olaf Rivera has been issued the NPI (National Provider Identifier) 1699836791, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Yuri Olaf Rivera located?
The Yuri Olaf Rivera is located at 101 Weems St, Purvis, MS 394754062.
What is the Yuri Olaf Rivera's specialty and taxonomy code?
The Yuri Olaf Rivera's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1699836791 assigned to Yuri Olaf Rivera?
The Yuri Olaf Rivera was issued its 1699836791 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Yuri Olaf Rivera, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Yuri Olaf Rivera, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-07-23.
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