John R Pederson
MD | Pediatrics | Male
John R Pederson, MD is a Albuquerque, New Mexico based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John R Pederson is
1100 Central Ave Se, Pmg Peds Hospitalists, Albuquerque, New Mexico - 87106-4930. He can be contacted on phone at
505-841-1063 and fax number 505-222-2695.
John R Pederson is a sole proprietor of his business.
NPI number (Unique professional ID) for John R Pederson is
1366536740 which was assigned by NPPES on 03 Oct, 2006 and it was last updated on 16 Jul, 2008.
John R Pederson license number is
20030477 for Pediatrics (208000000X) in New Mexico.
John R Pederson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John R Pederson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | John R Pederson |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
John R Pederson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1100 Central Ave Se, Pmg Peds Hospitalists
Albuquerque, NM, 87106-4930
United States |
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| Phone Number : | 505-841-1063 |
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| Fax Number : | 505-222-2695 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366536740 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2006 |
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| Last Updated On : | 16 Jul, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John R Pederson are as mentioned. Primary taxonomy code for John R Pederson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 20030477 | NM |
Legacy Identifiers:
Other legacy medical identifiers of John R Pederson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 90776224 | MEDICAID | NM | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 26666, Phs Provider Enrollment
Albuquerque, NM, 87125-6666
United States |
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| Phone Number : | 505-923-5356 |
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| Fax Number : | 505-923-5354 |
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Business Location:
Patients can refer following map for directions to
John R Pederson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.