Winston N Petersen in Orem - Physician Assistant
Winston N Petersen - NPI 1194714717
Winston N Petersen is a Physician Assistant in Orem, Utah. Winston N Petersen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Winston N Petersen is 1194714717. The last update date is 2016-04-29.
Winston N Petersen's current location address is 811 N 900 W, Orem, Utah. You can contact this provider via phone number 8014347600 and fax number 8014347604. The mailing address for Winston N Petersen is 811 N 900 W, Orem, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Winston N Petersen |
|---|---|
| Address | 811 N 900 W, Orem, Utah |
| Phone Number | 8014347600 |
| Fax Number | 8014347604 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1194714717 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2016-04-29 |
Provider Mailing Address Detail
| Address | 811 N 900 W |
|---|---|
| City | Orem |
| State | Utah (UT) |
| Post Code | 840577701 |
| Phone Number | 8014347600 |
| Fax Number | 8014347604 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 262207-1206 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807969000 | ID | -- | |
| PAG40 | ID | BLUE CROSS OF IDAHO | |
| PAG41 | ID | BLUE CROSS OF IDAHO | |
| 10165444 | ID | REGENCE BLUE SHIELD | |
| 10165445 | ID | REGENCE BLUE SHIELD OF ID | |
| 10165446 | ID | REGENCE BLUE SHIELD OF ID | |
| 807969002 | ID | -- | |
| PAG39 | ID | BLUE CROSS OF IDAHO | |
| 807969001 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Winston N Petersen?
The Winston N Petersen has been issued the NPI (National Provider Identifier) 1194714717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Winston N Petersen?
The Winston N Petersen is physically situated at 811 N 900 W, in the city of Orem, state of UT, with the postal code 840577701.
What is Winston N Petersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Winston N Petersen's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date was the 1194714717 assigned to Winston N Petersen?
The Winston N Petersen was issued its 1194714717 on 2005-10-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Winston N Petersen most recently updated?
The details pertaining to the Winston N Petersen, including its address, specialty, and other relevant information, were last refreshed on 2016-04-29.
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