Active NPIIndividual providerSole proprietor

Dr. Walter J Pedersen Jr., MD

Specialist in St. Croix, U.S. Virgin Islands

NPI Number1780671909
Practice location
Sunny Isle Professional Building, Suite 3-F, St. Croix, VI 00820-4423
Fax
340-778-2919
Last updated
December 11, 2007

Walter Jm Pedersen is a Specialist based in St. Croix, VI. Walter Jm Pedersen practices in St. Croix, VI and has the professional credentials of MD. The NPI Number for Walter Jm Pedersen is 1780671909 and holds a License No. 653 (VI). The current practice location address for Walter Jm Pedersen is Sunny Isle Professional Building, Suite 3-F, St. Croix, VI 00820-4423 and can be reached out via phone at 340-778-6110 and via fax at 340-778-2919.

Provider Profile Details

NPI Number
1780671909
Provider Name
Walter Jm Pedersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Sunny Isle Professional Building, Suite 3-F, St. Croix, VI 00820-4423
Phone Number
340-778-6110
Fax Number
340-778-2919
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2005
Last Update Date
December 11, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Sunny Isle Professional Building
Suite 3-F
St. Croix, VI 00820-4423
Zip
00820-4423
Phone Number
340-778-6110
Fax Number
340-778-2919
St. Croix, VI 00820Get directions →

Provider Business Mailing Address Details

Address
Po Box 7840
Sunny Isle Professional Bldg, Ste 3
St Croix, VI 00823-7840
City
St Croix
State
VI
Zip
00823-7840
Phone Number
340-778-6110
Fax Number
340-778-2919

License Information

License Number
653
License State
VI
Taxonomy
Specialist · 174400000X · 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 Dr. Walter J Pedersen Jr., MD?

The NPI number of Dr. Walter J Pedersen Jr., MD is 1780671909. It was assigned on October 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Walter J Pedersen Jr., MD?

Dr. Walter J Pedersen Jr., MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in VI under license number 653.

Where does Dr. Walter J Pedersen Jr., MD practice?

The practice location is Sunny Isle Professional Building, Suite 3-F, St. Croix, VI 00820-4423. 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 1780671909 directly on the NPPES registry website.

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