FREDERICK J PEET DPM PC NPI 1376667444

NPI Information

NPI: 1376667444
Provider Name: FREDERICK J PEET DPM PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1201 JEFFERSON ST
SUITE 120
WASHINGTON, MO
ZIP 63090
Phone: (636) 239-0202
Get Directions

FREDERICK J PEET DPM PC is a foot and ankle surgery podiatrist in Washington, MO. FREDERICK J PEET DPM PC NPI is 1376667444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 JEFFERSON ST
SUITE 120
WASHINGTON, MO
ZIP 63090-454
Phone: (636) 239-0202
Fax: (636) 239-0217

The provider's authorized official is Frederick J Peet .
The authorized official title is Doctor and has the following contact phone number (636) 239-0202.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 12/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	000548	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	480023932	OTHER	MISSOURI	RAILROAD MEDICARE
2	2700040	OTHER	MISSOURI	UNITED HEALTHCARE
3	4670200	OTHER	MISSOURI	AETNA
4	T42896	MEDICARE UPIN	MISSOURI
5	=========001	OTHER	MISSOURI	TRICARE
6	000021177	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
7	302302401	MEDICAID	MISSOURI
8	9774	OTHER	MISSOURI	BCBS OF MISSOURI
9	107216	OTHER	MISSOURI	HEALTHLINK
10	18509	OTHER	MISSOURI	HEALTHCARE USA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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