KARIE LYNN FEDORICK PA-C NPI 1689735482

NPI Information

NPI: 1689735482
Provider Name: KARIE LYNN FEDORICK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2915 E BASELINE RD STE 101
GILBERT, AZ
ZIP 85234
Phone: (480) 776-0626
Get Directions

Karie Lynn Fedorick, PA-C is a medical physician assistant in Gilbert, AZ. Karie Lynn Fedorick, PA-C NPI is 1689735482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2915 E BASELINE RD STE 101
GILBERT, AZ
ZIP 85234-427
Phone: (480) 776-0626
Fax: (480) 776-0627

The NPI 1689735482 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 4/12/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		2779	ARIZONA	No
2	363AM0700X	Physician Assistant	Medical	2779	ARIZONA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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