Shannon L Koss in Appleton - Physician Assistant
Shannon L Koss - NPI 1861583007
Shannon L Koss is a Physician Assistant in Appleton, Wisconsin. Shannon L Koss practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon L Koss is 1861583007. The last update date is 2022-01-18.
Shannon L Koss's current location address is 1531 S Madison St, Appleton, Wisconsin. You can contact this provider via phone number 9209963700. The mailing address for Shannon L Koss is 1531 S Madison St, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L Koss |
|---|---|
| Address | 1531 S Madison St, Appleton, Wisconsin |
| Phone Number | 9209963700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1861583007 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2022-01-18 |
Provider Mailing Address Detail
| Address | 1531 S Madison St |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 54915 |
| Phone Number | 9209963700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1604 |
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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 |
|---|---|---|---|
| 41978400 | WI | -- |
Post Comment/ Review Below
What is the Shannon L Koss's 1861583007?
The Shannon L Koss's NPI (National Provider Identifier) Number is 1861583007. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shannon L Koss?
The Shannon L Koss is situated at 1531 S Madison St, in the city of Appleton, state of WI, with the zip code 54915.
What is Shannon L Koss's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shannon L Koss is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did Shannon L Koss receive its 1861583007 assignment from the Centers for Medicare & Medicaid Services?
The Shannon L Koss was assigned its 1861583007 on 2006-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Shannon L Koss most recently updated?
The details pertaining to the Shannon L Koss, including its address, specialty, and other relevant information, were last refreshed on 2022-01-18.