Jasen Thomas Pedersen in Crestwood - Podiatrist
Jasen Thomas Pedersen - NPI 1114182326
Jasen Thomas Pedersen is a Podiatrist in Crestwood, Kentucky. Jasen Thomas Pedersen practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jasen Thomas Pedersen is 1114182326. The last update date is 2020-04-27.
Jasen Thomas Pedersen's current location address is 6400 Westwind Way, Crestwood, Kentucky. You can contact this provider via phone number 5022769999 and fax number 5022769999. The mailing address for Jasen Thomas Pedersen is 6400 Westwind Way, Crestwood, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jasen Thomas Pedersen |
|---|---|
| Address | 6400 Westwind Way, Crestwood, Kentucky |
| Phone Number | 5022769999 |
| Fax Number | 5022769999 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1114182326 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2020-04-27 |
Provider Mailing Address Detail
| Address | 6400 Westwind Way |
|---|---|
| City | Crestwood |
| State | Kentucky (KY) |
| Post Code | 400146773 |
| Phone Number | 5022769999 |
| Fax Number | 5022769999 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 243971 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100170810 | KY | -- | |
| 866560 | KY | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Jasen Thomas Pedersen by the Centers for Medicare & Medicaid Services (CMS)?
The Jasen Thomas Pedersen has been assigned the NPI (National Provider Identifier) 1114182326. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jasen Thomas Pedersen's facilities are situated?
The facilities of Jasen Thomas Pedersen are physically located at the following address: 6400 Westwind Way, Crestwood, KY, 400146773.
What is Jasen Thomas Pedersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jasen Thomas Pedersen's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
When did the Jasen Thomas Pedersen receive its 1114182326?
The Jasen Thomas Pedersen was issued its 1114182326 on 2008-07-28, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jasen Thomas Pedersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jasen Thomas Pedersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-04-27.
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