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NPI Code Detail

MEDICARE: JOSEPH K MCCONAHEY PA-C

MEDICARE: JOSEPH K MCCONAHEY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA10002244WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1L & IOTHERWA0204648
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417955857
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH K MCCONAHEY PA-C
Provider Business Mailing Address
First Line : 2116 E SECTION ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98274-9124
Country : US
Telephone Number : 360-428-1700
Fax Number : 360-848-4350
Provider Business Practice Location Address
First Line : 2116 E SECTION ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98274-9124
Country : US
Telephone Number : 360-428-1700
Fax Number : 360-848-4350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 10/28/2010

Similar Medicare Providers

1568465870 — MS. JANET GAIL HANSOM MD
Practice Location Address:
2116 EAST SECTION STREET
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1639172935 — MS. LUCIA C MULLER M.D.
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1033112479 — MR. ROGER PAUL ESTEP M.D.
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2116 EAST SECTION STREET
MOUNT VERNON, WA
98274-9124
Practice Phone: 360-428-1700
Practice Fax: 360-848-4350
1699778993 — DR. STEVEN H JOHNSON M.D.
Practice Location Address:
2116 E SECTION ST
MOUNT VERNON, WA
98274-9124
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Practice Fax: 360-848-4350
1598768897 — MR. MICHAEL A GREGORY AARP
Practice Location Address:
2116 E SECTION ST
MOUNT VERNON, WA
98274-9124
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1639172927 — MR. JONATHAN C GAMSON MD
Practice Location Address:
2116 EAST SECTION STREET
MOUNT VERNON, WA
98274-9124
Practice Phone: 360-428-1700
Practice Fax: 360-848-4350

Directions to “ JOSEPH K MCCONAHEY PA-C” Practice Location

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