Jennifer Louise Pedrazas in Fairlawn - Physician Assistant
Jennifer Louise Pedrazas - NPI 1508035460
Jennifer Louise Pedrazas is a Physician Assistant in Fairlawn, Ohio. Jennifer Louise Pedrazas practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Louise Pedrazas is 1508035460. The last update date is 2023-03-07.
Jennifer Louise Pedrazas's current location address is 2875 W Market St Ste B, Fairlawn, Ohio. You can contact this provider via phone number 3308641916. The mailing address for Jennifer Louise Pedrazas is 2875 W Market St Ste B, Fairlawn, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Louise Pedrazas |
|---|---|
| Address | 2875 W Market St Ste B, Fairlawn, Ohio |
| Phone Number | 3308641916 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1508035460 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2875 W Market St Ste B |
|---|---|
| City | Fairlawn |
| State | Ohio (OH) |
| Post Code | 443334065 |
| Phone Number | 3308641916 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004620 |
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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 |
|---|---|---|---|
| 1508035460 | MI | -- | |
| PA194857 | OR | STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Jennifer Louise Pedrazas by the Centers for Medicare & Medicaid Services?
The Jennifer Louise Pedrazas has been issued the NPI (National Provider Identifier) 1508035460. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jennifer Louise Pedrazas is physically located?
The Jennifer Louise Pedrazas is physically situated at the following address: 2875 W Market St Ste B, Fairlawn, OH, 443334065.
What is Jennifer Louise Pedrazas's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer Louise Pedrazas's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Jennifer Louise Pedrazas receive its 1508035460 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Louise Pedrazas was assigned its 1508035460 by the Centers for Medicare & Medicaid Services on 2008-02-25.
As of what date were the Jennifer Louise Pedrazas's details last updated?
The information pertaining to the Jennifer Louise Pedrazas, including its address, specialty, and other details, was most recently updated on 2023-03-07.
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