Peter Stevan Jerome in Longview - Sleep Medicine
Peter Stevan Jerome - NPI 1396740668
Peter Stevan Jerome is a Sleep Medicine in Longview, Texas. Peter Stevan Jerome practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Peter Stevan Jerome is 1396740668. The last update date is 2021-01-11.
Peter Stevan Jerome's current location address is 700 E Marshall Ave, Longview, Texas. You can contact this provider via phone number 9033151488 and fax number 9033151656. The mailing address for Peter Stevan Jerome is 700 E Marshall Ave, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Stevan Jerome |
|---|---|
| Address | 700 E Marshall Ave, Longview, Texas |
| Phone Number | 9033151488 |
| Fax Number | 9033151656 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396740668 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2021-01-11 |
Provider Mailing Address Detail
| Address | 700 E Marshall Ave |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 7560155800 |
| Phone Number | 9033151488 |
| Fax Number | 9033151656 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 207Rs0012X |
| Licence No | M-12784 |
|
Definition: An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep speciali |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00849680 | MN | RAILROAD MEDICARE | |
| P02137176 | TX | MEDICARE RAILROAD | |
| 393948001 | TX | -- | |
| ENROLLED | IA | -- | |
| 31692500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Peter Stevan Jerome by the Centers for Medicare & Medicaid Services?
The Peter Stevan Jerome has been assigned the NPI (National Provider Identifier) 1396740668 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 street address where Peter Stevan Jerome is physically located?
The Peter Stevan Jerome is physically situated at the following address: 700 E Marshall Ave, Longview, TX, 7560155800.
What is Peter Stevan Jerome's area of expertise and its corresponding taxonomy classification?
The Peter Stevan Jerome's field of specialization is Sleep Medicine, and it falls under the taxonomy code 207Rs0012X, which categorizes healthcare providers based on their areas of practice.
On what date did the Peter Stevan Jerome receive its 1396740668 assignment from the Centers for Medicare & Medicaid Services?
The Peter Stevan Jerome was assigned its 1396740668 by the Centers for Medicare & Medicaid Services on 2005-06-14.
As of what date was the information regarding Peter Stevan Jerome, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Peter Stevan Jerome, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-01-11.