Walter J M Pedersen Jr Md Pc in St Croix VI

Walter J M Pedersen Jr Md Pc is an orthopedic surgery with a current address of Sunny Isle Prof Bldg Suite 3f St Croix VI 823-4423. The NPI is 1184808065, and the license number is 653 (VI). It was issued on 12/27/2007. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on október 7, 2012.

 

Walter J M Pedersen Jr Md Pc can be reached by phone at 3407786110, by mail at Po Box 7840 Christiansted VI 823-7840, or by fax at 3407782919.

 

Walter Pedersen (President) is the authorized representative of the organization and can be reached at this phone number: 3407786110.

Name: Walter J M Pedersen Jr Md Pc

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: Walter Pedersen

Authorized Title/Position: President

Contact Number: 3407786110

 

Practice Location Address:

Sunny Isle Prof Bldg Suite 3f

St Croix

VI 823-4423

Telephone Number: 3407786110

Fax Number: 3407782919

Mailing Address:

Po Box 7840

Christiansted

VI 823-7840

Telephone Number: 3407786110

Fax Number: 3407782919

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1184808065

Enumeration Date: 12/27/2007

Last Update: október 7, 2012

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number: 653

License State: VI

 

Taxonomy Group: 193400000x Single Specialty Group

 

Other Taxonomy (if any):

335E00000X

653

VI

Y

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 89045

Code Type: 1

Identifier State: VI

Identifier Issuer: Bcbsvi

 

Other Identifiers (if any):

53699PE

1

VI

TRIPLE-S