Active NPIIndividual provider

Suehadee Jimenez, PA-C

Physician Assistant, Surgical in Waterbury, Connecticut

NPI Number1326286055
Practice location
500 Chase Pkwy, Suite 2A, Waterbury, CT 06708-3346
Fax
203-755-7166
Last updated
January 24, 2012

Suehadee Jimenez is a Physician Assistant, Surgical based in Waterbury, CT. Suehadee Jimenez practices in Waterbury, CT and has the professional credentials of PA-C. The NPI Number for Suehadee Jimenez is 1326286055 and holds a License No. 002246 (CT). The current practice location address for Suehadee Jimenez is 500 Chase Pkwy, Suite 2A, Waterbury, CT 06708-3346 and can be reached out via phone at 203-755-6677 and via fax at 203-755-7166.

Provider Profile Details

NPI Number
1326286055
Provider Name
Suehadee Jimenez
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
500 Chase Pkwy, Suite 2A, Waterbury, CT 06708-3346
Phone Number
203-755-6677
Fax Number
203-755-7166
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
February 3, 2009
Last Update Date
January 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Chase Pkwy
Suite 2A
Waterbury, CT 06708-3346
Zip
06708-3346
Phone Number
203-755-6677
Fax Number
203-755-7166
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
500 Chase Pkwy
Suite 2A
Waterbury, CT 06708-3346
City
Waterbury
State
CT
Zip
06708-3346
Phone Number
203-755-6677
Fax Number
203-755-7166

License Information

License Number
002246
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Suehadee Jimenez, PA-C?

The NPI number of Suehadee Jimenez, PA-C is 1326286055. It was assigned on February 3, 2009 and is currently active in the NPPES registry.

What is the specialty of Suehadee Jimenez, PA-C?

Suehadee Jimenez, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 002246.

Where does Suehadee Jimenez, PA-C practice?

The practice location is 500 Chase Pkwy, Suite 2A, Waterbury, CT 06708-3346. The office can be reached at 203-755-6677 (phone) or 203-755-7166 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326286055 directly on the NPPES registry website.

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