James H Petersen in Lake St Louis - Gastroenterology

James H Petersen - NPI 1831169275

James H Petersen is a Gastroenterology in Lake St Louis, Missouri. James H Petersen practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for James H Petersen is 1831169275. The last update date is 2014-07-18.

James H Petersen's current location address is 200 Brevco Plz, Lake St Louis, Missouri. You can contact this provider via phone number 6365619020. The mailing address for James H Petersen is 200 Brevco Plz, Lake St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name James H Petersen
Address 200 Brevco Plz, Lake St Louis, Missouri
Phone Number 6365619020
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1831169275
Provider Enumeration Date 2006-01-26
Last Updated Date 2014-07-18

Provider Mailing Address Detail

Address 200 Brevco Plz
City Lake St Louis
State Missouri (MO)
Post Code 633672949
Phone Number 6365619020
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No MOR7B69
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1831169275 MO --
P01021819 MO RAILROAD MEDICARE
24528 MO BC/BS MISSOURI
202263828 MO --

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FAQs about James H Petersen

What is the unique provider identifier assigned to James H Petersen?

The James H Petersen has been issued the NPI (National Provider Identifier) 1831169275 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where James H Petersen's facilities are geographically located?

The facilities of James H Petersen are physically situated at the following location: 200 Brevco Plz, Lake St Louis, MO, 633672949.

What is the James H Petersen's area of specialization and corresponding taxonomy classification?

The James H Petersen's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.

On what date was the 1831169275 assigned to James H Petersen?

The James H Petersen was issued its 1831169275 on 2006-01-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to James H Petersen most recently updated or refreshed?

The details pertaining to the James H Petersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-07-18.

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