Dr. Daniel A Pedersen, DO
Family Medicine in Pottsville, Pennsylvania
1790066108- Practice location
- 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660
- Phone
- 570-621-9270
- Fax
- 570-621-9271
- Last updated
- November 27, 2023
Daniel A Pedersen is a Family Medicine based in Pottsville, PA. Daniel A Pedersen practices in Pottsville, PA and has the professional credentials of DO. The NPI Number for Daniel A Pedersen is 1790066108 and holds a License No. OS021569 (PA). The current practice location address for Daniel A Pedersen is 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 and can be reached out via phone at 570-621-9270 and via fax at 570-621-9271.
Provider Profile Details
- NPI Number
- 1790066108
- Provider Name
- Daniel A Pedersen
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660
- Phone Number
- 570-621-9270
- Fax Number
- 570-621-9271
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 30, 2011
- Last Update Date
- November 27, 2023
- Certification Date
- November 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Schuylkill Medical Plz
Pottsville, PA 17901-3660 - City
- Pottsville
- State
- Pennsylvania
- Zip
- 17901-3660
- Phone Number
- 570-621-9270
- Fax Number
- 570-621-9271
Provider Business Mailing Address Details
- Address
- 1450E Chestnut Ave 3D
Vineland, NJ 08361-8469 - City
- Vineland
- State
- NJ
- Zip
- 08361-8469
- Phone Number
- 856-692-0050
- Fax Number
- 856-692-0081
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- OS021569
- License State (2)
- PA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
- License Number (3)
- 25MB09405100
- License State (3)
- NJ
- Taxonomy (3)
- Family Medicine · 207Q00000X
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 Dr. Daniel A Pedersen, DO?
The NPI number of Dr. Daniel A Pedersen, DO is 1790066108. It was assigned on August 30, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Daniel A Pedersen, DO?
Dr. Daniel A Pedersen, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PA under license number OS021569.
Where does Dr. Daniel A Pedersen, DO practice?
The practice location is 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660. The office can be reached at 570-621-9270 (phone) or 570-621-9271 (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 1790066108 directly on the NPPES registry website.