Michael Theodore Peterson in Honesdale - Internal Medicine
Michael Theodore Peterson - NPI 1194768606
Michael Theodore Peterson is a Internal Medicine in Honesdale, Pennsylvania. Michael Theodore Peterson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Michael Theodore Peterson is 1194768606. The last update date is 2016-05-19.
Michael Theodore Peterson's current location address is 601 Park St, Honesdale, Pennsylvania. You can contact this provider via phone number 5702262151 and fax number 5702261861. The mailing address for Michael Theodore Peterson is 601 Park St, Honesdale, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Theodore Peterson |
|---|---|
| Address | 601 Park St, Honesdale, Pennsylvania |
| Phone Number | 5702262151 |
| Fax Number | 5702261861 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1194768606 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2016-05-19 |
Provider Mailing Address Detail
| Address | 601 Park St |
|---|---|
| City | Honesdale |
| State | Pennsylvania (PA) |
| Post Code | 184311445 |
| Phone Number | 5702262151 |
| Fax Number | 5702261861 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | OS-007805L |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PE744170 | PA | HIGHMARK BLUE SHIELD | |
| 3000 | PA | FIRST PRIORITY HEALTH | |
| 2042395 | NY | NY MEDICAL ASSISTANCE | |
| 14151170001 | PA | -- | |
| 8873 | PA | GEISINGER HEALTH PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Theodore Peterson by the Centers for Medicare & Medicaid Services?
The Michael Theodore Peterson has been assigned the NPI (National Provider Identifier) 1194768606. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michael Theodore Peterson's facilities are geographically located?
The facilities of Michael Theodore Peterson are physically situated at the following location: 601 Park St, Honesdale, PA, 184311445.
What is Michael Theodore Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Theodore Peterson is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Michael Theodore Peterson receive its 1194768606 assignment from the Centers for Medicare & Medicaid Services?
The Michael Theodore Peterson was assigned its 1194768606 by the Centers for Medicare & Medicaid Services on 2006-06-13.
As of what date were the details related to Michael Theodore Peterson most recently updated or revised?
The information pertaining to Michael Theodore Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-19.