Christopher A Pederson, M.D., M.P.H.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

7546 Issued in NV

Practice address

401 Royalton Dr
Las Vegas, NV 89144-0824

Phone

(702) 289-4562

Fax

(877) 721-6912

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• HMC Medical Center, LLC

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1194754358
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1083791313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROYALTON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440824",
            "telephone_number": "702-289-4562",
            "fax_number": "877-721-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROYALTON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440824",
            "telephone_number": "702-289-4562",
            "fax_number": "877-721-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NV",
            "license": "7546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510737",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11656110",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CC6493",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbigail Peddieson, MFT-LICENSED INTERN
• Kendal L Pedersen
• Robert Pedersen
• Stephen Pedersen, HIGH SCHOOL DIPLOMA
• Anita G Pederson
• Pediatric Behavior Management Professionals
• Pediatric Collective LLC
• Pediatric Gastroenterology Prof Assn (Pediatric Gast and Nutri Associates)
• Pediatric Sub-Specialists of Nevada, LLC
• Pediatric Surgery Associates

• Occupational Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.