Benjamin R Pflederer in Peoria - Nephrology

Benjamin R Pflederer - NPI 1306976964

Benjamin R Pflederer is a Nephrology in Peoria, Illinois. Benjamin R Pflederer practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Benjamin R Pflederer is 1306976964. The last update date is 2008-12-11.

Benjamin R Pflederer's current location address is 200 E Pennsylvania Ave, Peoria, Illinois. You can contact this provider via phone number 3096768123 and fax number 3096768455. The mailing address for Benjamin R Pflederer is 200 E Pennsylvania Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin R Pflederer
Address 200 E Pennsylvania Ave, Peoria, Illinois
Phone Number 3096768123
Fax Number 3096768455
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1306976964
Provider Enumeration Date 2007-03-06
Last Updated Date 2008-12-11

Provider Mailing Address Detail

Address 200 E Pennsylvania Ave
City Peoria
State Illinois (IL)
Post Code 616033089
Phone Number 3096768123
Fax Number 3096768455

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No 36079736
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
390001122 IL BCBS
390001122 IL RAILROAD MEDICARE

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FAQs about Benjamin R Pflederer

What is the unique 10-digit identification code issued to Benjamin R Pflederer by the Centers for Medicare & Medicaid Services?

The Benjamin R Pflederer has been assigned the NPI (National Provider Identifier) 1306976964 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Benjamin R Pflederer?

The Benjamin R Pflederer is physically situated at 200 E Pennsylvania Ave, in the city of Peoria, state of IL, with the postal code 616033089.

What is Benjamin R Pflederer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Benjamin R Pflederer is Nephrology, and the taxonomy classification code that categorizes this area of expertise is 207Rn0300X.

On what date did Benjamin R Pflederer receive its 1306976964 assignment from the Centers for Medicare & Medicaid Services?

The Benjamin R Pflederer was assigned its 1306976964 on 2007-03-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Benjamin R Pflederer last refreshed?

The information related to the Benjamin R Pflederer, including its address, specialty, and other relevant details, was last updated on 2008-12-11.

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