Alan C Peterson in Fort Wayne - Thoracic Surgery (cardiothoracic Vascular Surgery)
Alan C Peterson - NPI 1477555225
Alan C Peterson is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Fort Wayne, Indiana. Alan C Peterson practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Alan C Peterson is 1477555225. The last update date is 2020-09-29.
Alan C Peterson's current location address is 6920 Pointe Inverness Way Ste 200, Fort Wayne, Indiana. You can contact this provider via phone number 2604793514 and fax number 2604793520. The mailing address for Alan C Peterson is 6920 Pointe Inverness Way Ste 200, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan C Peterson |
|---|---|
| Address | 6920 Pointe Inverness Way Ste 200, Fort Wayne, Indiana |
| Phone Number | 2604793514 |
| Fax Number | 2604793520 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477555225 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2020-09-29 |
Provider Mailing Address Detail
| Address | 6920 Pointe Inverness Way Ste 200 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468047934 |
| Phone Number | 2604793514 |
| Fax Number | 2604793520 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 01031812A |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330005240 | IN | RR MEDICARE | |
| 2907251 | MI | -- | |
| 518649 | OH | -- | |
| 100096130 | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Alan C Peterson by the Centers for Medicare & Medicaid Services?
The Alan C Peterson has been issued the NPI (National Provider Identifier) 1477555225. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Alan C Peterson?
The Alan C Peterson is situated at 6920 Pointe Inverness Way Ste 200, in the city of Fort Wayne, state of IN, with the zip code 468047934.
What is the Alan C Peterson's specialty and taxonomy code?
The Alan C Peterson's specialty is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code is 208G00000X.
When did Alan C Peterson receive its 1477555225 assignment?
The Alan C Peterson was assigned its 1477555225 on 2005-08-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Alan C Peterson most recently updated or revised?
The information pertaining to Alan C Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2020-09-29.