Michael John Modrow in Raleigh - Physician Assistant
Michael John Modrow - NPI 1740448182
Michael John Modrow is a Physician Assistant in Raleigh, North Carolina. Michael John Modrow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael John Modrow is 1740448182. The last update date is 2021-03-09.
Michael John Modrow's current location address is 3000 New Bern Ave, Raleigh, North Carolina. You can contact this provider via phone number 9193507601. The mailing address for Michael John Modrow is 3000 New Bern Ave, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Modrow |
|---|---|
| Address | 3000 New Bern Ave, Raleigh, North Carolina |
| Phone Number | 9193507601 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740448182 |
|---|---|
| Provider Enumeration Date | 2008-05-31 |
| Last Updated Date | 2021-03-09 |
Provider Mailing Address Detail
| Address | 3000 New Bern Ave |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276101231 |
| Phone Number | 9193507601 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1032066 |
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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 Michael John Modrow by the Centers for Medicare & Medicaid Services?
The Michael John Modrow has been assigned the NPI (National Provider Identifier) 1740448182. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael John Modrow located?
The Michael John Modrow is located at 3000 New Bern Ave, Raleigh, NC 276101231.
What is Michael John Modrow's area of expertise and its corresponding taxonomy classification?
The Michael John Modrow'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 issue the 1740448182 to Michael John Modrow?
The Michael John Modrow received its 1740448182 assignment from the Centers for Medicare & Medicaid Services on 2008-05-31.
When was the Michael John Modrow's information last updated?
The Michael John Modrow's information was last updated on 2021-03-09.