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JOHN F IADEROSA PA NPI 1366431405


NPI Information

NPI: 1366431405
Provider Name: JOHN F IADEROSA, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
4 E JACKSON BLVD
SAVANNAH, GA
ZIP 31405
Phone: (912) 355-1010
Get Directions

John F Iaderosa, PA is a surgical physician assistant in Savannah, GA. John F Iaderosa, PA NPI is 1366431405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4 E JACKSON BLVD
SAVANNAH, GA
ZIP 31405-810
Phone: (912) 355-1010
Fax: (912) 354-1441

The NPI 1366431405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of spinal instrumentation for spinal stabilization (HCPCS:22851)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Fusion of spine bones with removal of disc at upper spinal column, anterior approach (HCPCS:22551)

The enumeration date for this NPI number is 10/20/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P43684MEDICARE UPIN
297BBHHTMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
300008489BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.