Jerry Kenneth Pearson in Tell City - Surgery
Jerry Kenneth Pearson - NPI 1043252166
Jerry Kenneth Pearson is a Surgery in Tell City, Indiana. Jerry Kenneth Pearson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jerry Kenneth Pearson is 1043252166. The last update date is 2014-04-28.
Jerry Kenneth Pearson's current location address is 109 Us Highway 66 E, Tell City, Indiana. You can contact this provider via phone number 8125473447 and fax number 8125479543. The mailing address for Jerry Kenneth Pearson is 109 Us Highway 66 E, Tell City, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Kenneth Pearson |
|---|---|
| Address | 109 Us Highway 66 E, Tell City, Indiana |
| Phone Number | 8125473447 |
| Fax Number | 8125479543 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043252166 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2014-04-28 |
Provider Mailing Address Detail
| Address | 109 Us Highway 66 E |
|---|---|
| City | Tell City |
| State | Indiana (IN) |
| Post Code | 475862755 |
| Phone Number | 8125473447 |
| Fax Number | 8125479543 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 71513 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M036898 | MI | CHAMPUS PIN | |
| 540032 | MI | BCBS | |
| 103426138 | MI | -- |
Post Comment/ Review Below
What is the Jerry Kenneth Pearson's unique identification number?
The Jerry Kenneth Pearson has been assigned the NPI (National Provider Identifier) Number 1043252166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jerry Kenneth Pearson is located?
The Jerry Kenneth Pearson is situated at the following address: 109 Us Highway 66 E, Tell City, IN, 475862755.
What is the Jerry Kenneth Pearson's area of specialization and corresponding taxonomy classification?
The Jerry Kenneth Pearson's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1043252166 to Jerry Kenneth Pearson?
The Centers for Medicare & Medicaid Services assigned the 1043252166 to Jerry Kenneth Pearson on 2006-06-12.
As of what date was the information regarding Jerry Kenneth Pearson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry Kenneth Pearson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-04-28.
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