DR. MD Mauricio E Palencia, NPI 1770558264
Emergency Medicine Physician in Plymouth, WI, 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 | 1770558264 |
| NPI Entity Type | Individual |
| Provider Name | DR. MD Mauricio E Palencia |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 2600 Kiley Way, Plymouth, WI, US |
| Provider Mailing Address | 2600 Kiley Way, Plymouth, WI, US, 530735020 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Emergency Medicine Physician |
| Classification | |
| Group | |
| License No. | 43429 |
| License State | WI |
| Description | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 43429 | WI | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 34111200 | WI | MEDICAID | 05 |
| 1770558264 | WI | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | DIRECT | No | 2600 Kiley Way, Plymouth, WI, US | ||
| FHIR | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | No | 2600 Kiley Way, Plymouth, WI, US |
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Fort Healthcare, Inc Organization |
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