JOSEPH A BUSHONG PA NPI 1386822013

NPI Information

NPI: 1386822013
Provider Name: JOSEPH A BUSHONG, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
Phone: (314) 652-4100
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Joseph A Bushong, PA is a medical physician assistant in Saint Louis, MO. Joseph A Bushong, PA NPI is 1386822013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106-621
Phone: (314) 652-4100
Fax: (314) 289-7694

The enumeration date for this NPI number is 2/5/2008 and was last updated on 4/3/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	2010015649	MISSOURI	Yes

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: 5/5/2024

NPI Synchronization or Removal

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