Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD437006 | PA |
N | 208600000X | Surgeon | MD437006 | PA |
Y | 2086S0102X | Surgical Critical Care | 078779 | GA |
N | 2086S0127X | Trauma Surgeon | 078779 | GA |
N | 2086S0127X | Trauma Surgeon | ME118768 | FL |
NPI | 1275748386 |
---|---|
Provider Name | David M Kashmer |
First Address | Atlanta, GA 30374-2616 |
Second Address | Sayre, PA 18840 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03262939 | (05) | NY |
1025026680001 | (05) | PA |
PENDING | MEDICARE (01) | FL |