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MARIA CRISTINA ATIENZA PSC NPI 1275543134


NPI Profile

NPI: 1275543134
Provider Name: MARIA CRISTINA ATIENZA PSC

Other Name: MARIA C ATIENZA MD PSC

Classification:Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 18D1012557

Address:
110 ROY KIDD AVE
CORBIN, KY
ZIP 40701
Get Directions

Phone: (606) 528-7400

MARIA CRISTINA ATIENZA PSC is a geriatric medicine internal medicine in Corbin, KY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MARIA CRISTINA ATIENZA PSC NPI is 1275543134. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Maria C Atienza Md Psc.

The provider's business location address is:

110 ROY KIDD AVE
CORBIN, KY
ZIP 40701-302
Phone: (606) 528-7400
Fax: (606) 528-7449

The provider's authorized official is Maria C. Atienza .
The authorized official title is Owner and has the following contact phone number (606) 528-7400.

The CLIA number assigned to this NPI record is 18D1012557 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/19/2013.


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
12084N0400XPsychiatry & NeurologyNeurologyNo
2363L00000XNurse PractitionerNo
3207RG0300XInternal MedicineGeriatric MedicineYes

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
135-001726MEDICAIDKENTUCKY
218-3933MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY

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: 11/7/2021

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