DR. M.D Charles Timothy Fasanya, NPI 1710149356
Surgical Critical Care Physician in Middletown, NY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1710149356 |
| NPI Entity Type | Individual |
| Provider Name | DR. M.D Charles Timothy Fasanya |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 707 E Main St, Middletown, NY, US |
| Provider Mailing Address | 707 E Main St, Middletown, NY, US, 109402650 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Surgical Critical Care Physician |
| Classification | |
| Group | |
| License No. | 254698 |
| License State | NY |
| Description | A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 25MA08347800 | NJ | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 254698 | NY | NEW YORK STATE LICENSE | 01 |
| 25MA08347800 | NJ | MEDICAL LICENSE | 01 |
| 0181781 | NJ | MEDICAID | 05 |
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