Todd J Petersen in Springfield - Physician Assistant
Todd J Petersen - NPI 1740270537
Todd J Petersen is a Physician Assistant in Springfield, Illinois. Todd J Petersen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Todd J Petersen is 1740270537. The last update date is 2015-06-26.
Todd J Petersen's current location address is 1025 S 6th St, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Todd J Petersen is 1025 S 6th St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd J Petersen |
|---|---|
| Address | 1025 S 6th St, Springfield, Illinois |
| Phone Number | 2175287541 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740270537 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2015-06-26 |
Provider Mailing Address Detail
| Address | 1025 S 6th St |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627032403 |
| Phone Number | 2175287541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-002723 |
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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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What is the unique identifier code issued to Todd J Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Todd J Petersen has been assigned the NPI (National Provider Identifier) 1740270537. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Todd J Petersen's specialty and taxonomy code?
The Todd J Petersen's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Todd J Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Todd J Petersen is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Todd J Petersen's information last updated?
The Todd J Petersen's information was last updated on 2015-06-26.
When was the information pertaining to Todd J Petersen most recently updated or revised?
The details related to Todd J Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-26.