Jayson Robert Pereira in Woodbury - Sports Medicine
Jayson Robert Pereira - NPI 1104036912
Jayson Robert Pereira is a Sports Medicine in Woodbury, Minnesota. Jayson Robert Pereira practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jayson Robert Pereira is 1104036912. The last update date is 2023-06-13.
Jayson Robert Pereira's current location address is 155 Radio Dr, Woodbury, Minnesota. You can contact this provider via phone number 9528318742. The mailing address for Jayson Robert Pereira is 155 Radio Dr, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jayson Robert Pereira |
|---|---|
| Address | 155 Radio Dr, Woodbury, Minnesota |
| Phone Number | 9528318742 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104036912 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2023-06-13 |
Provider Mailing Address Detail
| Address | 155 Radio Dr |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 551252619 |
| Phone Number | 9528318742 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Ps0010X |
| Licence No | 52029 |
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Definition: An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. |
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Post Comment/ Review Below
What is the Jayson Robert Pereira's unique identification number?
The Jayson Robert Pereira has been assigned the NPI (National Provider Identifier) Number 1104036912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jayson Robert Pereira is geographically located?
The Jayson Robert Pereira is physically situated at the following location: 155 Radio Dr, Woodbury, MN, 551252619.
What is Jayson Robert Pereira's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jayson Robert Pereira is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Ps0010X.
On what date was the 1104036912 assigned to Jayson Robert Pereira?
The Jayson Robert Pereira was issued its 1104036912 on 2007-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jayson Robert Pereira most recently updated or revised?
The details related to Jayson Robert Pereira, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-13.
NPI Number: 1699778829
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