Peter William Heetderks in Raleigh - Critical Care Medicine

Peter William Heetderks - NPI 1265467898

Peter William Heetderks is a Critical Care Medicine in Raleigh, North Carolina. Peter William Heetderks practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Peter William Heetderks is 1265467898. The last update date is 2021-02-25.

Peter William Heetderks's current location address is 3024 New Bern Ave, Raleigh, North Carolina. You can contact this provider via phone number 9193507270 and fax number 9193507204. The mailing address for Peter William Heetderks is 3024 New Bern Ave, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter William Heetderks
Address 3024 New Bern Ave, Raleigh, North Carolina
Phone Number 9193507270
Fax Number 9193507204
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1265467898
Provider Enumeration Date 2006-07-12
Last Updated Date 2021-02-25

Provider Mailing Address Detail

Address 3024 New Bern Ave
City Raleigh
State North Carolina (NC)
Post Code 276101247
Phone Number 9193507270
Fax Number 9193507204

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No 2005-01601
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5902133 NC --

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FAQs about Peter William Heetderks

What is the unique 10-digit identification code issued to Peter William Heetderks by the Centers for Medicare & Medicaid Services?

The Peter William Heetderks has been assigned the NPI (National Provider Identifier) 1265467898 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Peter William Heetderks?

The Peter William Heetderks is situated at 3024 New Bern Ave, in the city of Raleigh, state of NC, with the zip code 276101247.

What is the area of specialization for Peter William Heetderks, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Peter William Heetderks is Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1265467898 to Peter William Heetderks?

The Centers for Medicare & Medicaid Services assigned the 1265467898 to Peter William Heetderks on 2006-07-12.

As of what date was the information pertaining to Peter William Heetderks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Peter William Heetderks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-25.

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