Thomas P Peller MD SC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

34997 Issued in WI

Legal business name

THOMAS P PELLER MD SC

Practice address

714 W Hamilton Ave
Eau Claire, WI 54701-6937

Phone

(715) 830-9990

Fax

(715) 830-9995

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas P Peller, M.D.

Title

Director President

Phone

(715) 830-9990

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1215008875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016937",
            "telephone_number": "715-830-9990",
            "fax_number": "715-830-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016937",
            "telephone_number": "715-830-9990",
            "fax_number": "715-830-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P PELLER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "PELLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR PRESIDENT",
        "authorized_official_telephone_number": "715-830-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "34997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32016000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Young Men'S Christian Association of Eau Claire Wisconsin
• Isaac Theerman, D.O.
• Angela M Theisen, MSW
• Joseph Raymond Theisen, D.D.S.
• Kersten A Thom, RN
• Dale Floyd Thomas, PHD
• Holly K Thomas, MSW
• Susan B Thomas, LCSW
• Thomas Sunil Thomas, MD
• Janell M Thompson, D.O.

• Gastroenterology Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Gastroenterology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.