Daniel Cole Pedersen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

2751 Commercial Way
Rock Springs, WY 82901-4753

Phone

(307) 382-7414

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Hunter Family Medical Clinic PC

  • Family Medicine Physician
  • Rock Springs, WY
  • NPI 1538200761
  Medicare reassignment

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1285899880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 COMMERCIAL WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014753",
            "telephone_number": "720-384-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 COMMERCIAL WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014753",
            "telephone_number": "307-382-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "DANIEL",
        "middle_name": "COLE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishit Kumar H Patel
• Prachi R Pawar, MD
• Rahul N Pawar, MD
• Peak Vision Eye Surgery PC
• Ashely Pedersen
• Cara R Pedri
• Gary G Pedri, RPH
• Tony G Pedri, MD
• Pegasus Emergency Group Wyoming LLC
• Von C Petersen, P.T.

• Medical Physician Assistant in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Medical Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.