Thomas Keller Pettus in Robbinsdale - Geriatric Medicine
Thomas Keller Pettus - NPI 1811066053
Thomas Keller Pettus is a Geriatric Medicine in Robbinsdale, Minnesota. Thomas Keller Pettus practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Thomas Keller Pettus is 1811066053. The last update date is 2009-01-07.
Thomas Keller Pettus's current location address is 3366 Oakdale Ave No Suite 315, Robbinsdale, Minnesota. You can contact this provider via phone number 7635877900 and fax number 7635877989. The mailing address for Thomas Keller Pettus is 3366 Oakdale Ave No Suite 315, Robbinsdale, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Keller Pettus |
|---|---|
| Address | 3366 Oakdale Ave No Suite 315, Robbinsdale, Minnesota |
| Phone Number | 7635877900 |
| Fax Number | 7635877989 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811066053 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2009-01-07 |
Provider Mailing Address Detail
| Address | 3366 Oakdale Ave No Suite 315 |
|---|---|
| City | Robbinsdale |
| State | Minnesota (MN) |
| Post Code | 55422 |
| Phone Number | 7635877900 |
| Fax Number | 7635877989 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 26453 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 737568900 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Thomas Keller Pettus by the Centers for Medicare & Medicaid Services?
The Thomas Keller Pettus has been assigned the NPI (National Provider Identifier) 1811066053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Thomas Keller Pettus's facilities are geographically located?
The facilities of Thomas Keller Pettus are physically situated at the following location: 3366 Oakdale Ave No Suite 315, Robbinsdale, MN, 55422.
What is Thomas Keller Pettus's area of expertise and its corresponding taxonomy classification?
The Thomas Keller Pettus's field of specialization is Geriatric Medicine, and it falls under the taxonomy code 207Rg0300X, which categorizes healthcare providers based on their areas of practice.
On what date did Thomas Keller Pettus receive its 1811066053 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Keller Pettus was assigned its 1811066053 on 2006-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Thomas Keller Pettus, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Thomas Keller Pettus, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-01-07.
NPI Number: 1275535502
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