Carol Sue Cdebaca is a Surgical in Roanoke, Virginia. Carol Sue Cdebaca practices all healthcare services and medical treatments related to Surgical. The NPI Number for Carol Sue Cdebaca is 1154518900. The last update date is 2019-11-26.
Carol Sue Cdebaca's current location address is 2331 Franklin Rd Sw, Roanoke, Virginia. You can contact this provider via phone number 5407251226 and fax number 5408575306. The mailing address for Carol Sue Cdebaca is 2331 Franklin Rd Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Sue Cdebaca |
|---|---|
| Address | 2331 Franklin Rd Sw, Roanoke, Virginia |
| Phone Number | 5407251226 |
| Fax Number | 5408575306 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154518900 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2019-11-26 |
Provider Mailing Address Detail
| Address | 2331 Franklin Rd Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240141111 |
| Phone Number | 5407251226 |
| Fax Number | 5408575306 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 110002628 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1154518900 | VA | SOUTHERN HEALTH/CARENET/CARELI | |
| P01464014 | VA | RAILROAD MEDICARE | |
| 1154518900 | VA | IN TOTAL | |
| 1154518900 | VA | MEDICAID QMB | |
| 1154518900 | VA | AETNA | |
| 1154518900 | VA | CCC VIRGINIA PREMIER | |
| 1154518900 | VA | OPTIMA HEALTH PLAN | |
| 540506332115 | VA | TRICARE | |
| 1154518900 | VA | HUMANA MEDICARE | |
| 1154518900 | VA | ANTHEM MEDIGAP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carol Sue Cdebaca by the Centers for Medicare & Medicaid Services?
The Carol Sue Cdebaca has been assigned the NPI (National Provider Identifier) 1154518900 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Carol Sue Cdebaca's facilities are situated?
The facilities of Carol Sue Cdebaca are physically located at the following address: 2331 Franklin Rd Sw, Roanoke, VA, 240141111.
What is Carol Sue Cdebaca's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carol Sue Cdebaca's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date did Carol Sue Cdebaca receive its 1154518900 assignment from the Centers for Medicare & Medicaid Services?
The Carol Sue Cdebaca was assigned its 1154518900 on 2007-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Carol Sue Cdebaca most recently updated or revised?
The details related to Carol Sue Cdebaca, including its address, specialty, and other relevant information, were last updated or revised on 2019-11-26.
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