Walter J M Pedersen Jr MD PC
Prosthetic/Orthotic Supplier in St Croix, U.S. Virgin Islands
1184808065- Practice location
- Sunny Isle Prof Bldg, Suite 3F, St Croix, VI 00823-4423
- Phone
- 340-778-6110
- Fax
- 340-778-2919
- Last updated
- July 10, 2012
Walter J M Pedersen Jr MD PC is a healthcare organization based in St Croix, VI. Walter J M Pedersen Jr MD PC practices in St Croix, VI. The NPI Number for Walter J M Pedersen Jr MD PC is 1184808065 and holds a License No. 653 (VI). The current practice location address for Walter J M Pedersen Jr MD PC is Sunny Isle Prof Bldg, Suite 3F, St Croix, VI 00823-4423 and can be reached out via phone at 340-778-6110 and via fax at 340-778-2919.
Provider Profile Details
- NPI Number
- 1184808065
- Provider Name
- Walter J M Pedersen Jr MD PC
- Provider Entity Type
- Organization
- Address
- Sunny Isle Prof Bldg, Suite 3F, St Croix, VI 00823-4423
- Phone Number
- 340-778-6110
- Fax Number
- 340-778-2919
- Primary Taxonomy
- Prosthetic/Orthotic Supplier · 335E00000X
- Organization Subpart
- No
- Authorized Official
- Walter J M Pedersen, MD · President · 340-778-6110
- Provider Enumeration Date
- December 27, 2007
- Last Update Date
- July 10, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Sunny Isle Prof Bldg
Suite 3F
St Croix, VI 00823-4423 - City
- St Croix
- State
- U.S. Virgin Islands
- Zip
- 00823-4423
- Phone Number
- 340-778-6110
- Fax Number
- 340-778-2919
Provider Business Mailing Address Details
- Address
- Po Box 7840
Christiansted, VI 00823-7840 - City
- Christiansted
- State
- VI
- Zip
- 00823-7840
- Phone Number
- 340-778-6110
- Fax Number
- 340-778-2919
License Information
- License Number (1)
- 653
- License State (1)
- VI
- Taxonomy (1)
- Orthopaedic Surgery · 207X00000X
- License Number (2)
- 653
- License State (2)
- VI
- Taxonomy (2)
- Prosthetic/Orthotic Supplier · 335E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Walter J M Pedersen Jr MD PC?
The NPI number of Walter J M Pedersen Jr MD PC is 1184808065. It was assigned on December 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Walter J M Pedersen Jr MD PC?
Walter J M Pedersen Jr MD PC is registered under the primary taxonomy Prosthetic/Orthotic Supplier (code 335E00000X), licensed in VI under license number 653.
Where does Walter J M Pedersen Jr MD PC practice?
The practice location is Sunny Isle Prof Bldg, Suite 3F, St Croix, VI 00823-4423. The office can be reached at 340-778-6110 (phone) or 340-778-2919 (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 1184808065 directly on the NPPES registry website.