Elizabeth A Divyak in Madison - Physician Assistant
Elizabeth A Divyak - NPI 1174710560
Elizabeth A Divyak is a Physician Assistant in Madison, Wisconsin. Elizabeth A Divyak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elizabeth A Divyak is 1174710560. The last update date is 2021-01-18.
Elizabeth A Divyak's current location address is 700 S Park St, Madison, Wisconsin. You can contact this provider via phone number 6082516100 and fax number 6082586259. The mailing address for Elizabeth A Divyak is 700 S Park St, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth A Divyak |
|---|---|
| Address | 700 S Park St, Madison, Wisconsin |
| Phone Number | 6082516100 |
| Fax Number | 6082586259 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1174710560 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2021-01-18 |
Provider Mailing Address Detail
| Address | 700 S Park St |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537151830 |
| Phone Number | 6082516100 |
| Fax Number | 6082586259 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5122-23 |
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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 |
|---|---|---|---|
| 1174710560 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elizabeth A Divyak by the Centers for Medicare & Medicaid Services (CMS)?
The Elizabeth A Divyak has been assigned the NPI (National Provider Identifier) 1174710560. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Elizabeth A Divyak is physically located?
The Elizabeth A Divyak is situated at the following address: 700 S Park St, Madison, WI 537151830.
What is Elizabeth A Divyak's area of expertise and its corresponding taxonomy classification?
The Elizabeth A Divyak'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 originally issue the 1174710560 to Elizabeth A Divyak?
The Centers for Medicare & Medicaid Services originally issued the 1174710560 to Elizabeth A Divyak on 2007-09-28.
As of what date were the Elizabeth A Divyak's details last updated?
The information pertaining to the Elizabeth A Divyak, including its address, specialty, and other details, was most recently updated on 2021-01-18.