Paul Roger Backus in Knoxville - Nurse Anesthetist, Certified Registered
Paul Roger Backus - NPI 1790721876
Paul Roger Backus is a Nurse Anesthetist, Certified Registered in Knoxville, Tennessee. Paul Roger Backus practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Paul Roger Backus is 1790721876. The last update date is 2011-01-11.
Paul Roger Backus's current location address is 12752 Kingston Pike, Knoxville, Tennessee. You can contact this provider via phone number 8657770909 and fax number 8657770910. The mailing address for Paul Roger Backus is 12752 Kingston Pike, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Roger Backus |
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Address | 12752 Kingston Pike, Knoxville, Tennessee |
Phone Number | 8657770909 |
Fax Number | 8657770910 |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1790721876 |
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Provider Enumeration Date | 2006-06-20 |
Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
Address | 12752 Kingston Pike |
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City | Knoxville |
State | Tennessee (TN) |
Post Code | 379340948 |
Phone Number | 8657770909 |
Fax Number | 8657770910 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | 51127 |
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3037713 | TN | BLUECARE | |
3600330 | TN | -- | |
100021676 | TN | PHP TENNCARE | |
430009899 | TN | MEDICARE TRAVELERS | |
1502526 | TN | -- | |
3037713 | TN | BLUE CROSS | |
4173676 | TN | BLUE CROSS/BLUE SHIELD | |
616087 | KY | BLUE CROSS/BLUE SHIELD | |
P00810612 | KY | RAILROAD MEDICARE PIN | |
P00479791 | TN | RAILROAD MEDICARE PIN |
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What is the unique 10-digit identifier code issued to Paul Roger Backus by the Centers for Medicare & Medicaid Services?
The Paul Roger Backus has been assigned the NPI (National Provider Identifier) 1790721876 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 Paul Roger Backus's facilities are situated?
The facilities of Paul Roger Backus are physically located at the following address: 12752 Kingston Pike, Knoxville, TN, 379340948.
What is the Paul Roger Backus's specialty and taxonomy code?
The Paul Roger Backus's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
When did the Paul Roger Backus receive its 1790721876?
The Paul Roger Backus was issued its 1790721876 on 2006-06-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Paul Roger Backus most recently updated?
The details pertaining to the Paul Roger Backus, including its address, specialty, and other relevant information, were last refreshed on 2011-01-11.
NPI Number: 1588667679
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