Active NPI
Joseph T. Pedersen, M.D.
- Radiation Oncology Physician
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 34198
- Practice address
- 911 Bypass Rd
Pikeville, KY 41501-1689 - Phone
- (606) 218-3500
- NPI assigned
- Aug 12, 2006
- Last updated
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD-067177-L | PA | |
| Radiation Oncology Physician | 2085R0001X | 34198 | KY | Primary |
Addresses
Primary practice location
911 Bypass Rd
Pikeville, KY 41501-1689
Mailing address
PO Box 2917
Pikeville, KY 41502-2917
Phone (606) 218-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001765945 | Other | PA | HIGHMARK BLUE CROSS |
| 1013753370001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, KY, SC, LA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
122 Okatie Ctr Blvd N
Suite 130
Okatie, SC 29909-3782
Phone (843) 522-7800
2 Guthrie Dr
Corning, NY 14830-3697
Phone (607) 937-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34198 | KY | MD | Radiation Oncology Physician |
| MD-067177-L | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Mso LLC | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Radiation Oncology | Current | Accepting new patients |
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Kentucky Mso, LLC | Radiation Oncology | Current | Accepting new patients |
| Watauga Medical Center Inc | Radiation Oncology | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| Ahoskie Imaging LLC | Radiation Oncology | Past | Accepting new patients |
| Radiation Services of North Carolina LLC | Radiation Oncology | Past | Accepting new patients |
| East Carolina Health | Past | Accepting new patients |
Locations
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
1152 Lexington Rd
Georgetown, KY 40324
Phone (502) 570-4003
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
989 Ribaut Rd
Beaufort, SC 29902
Phone (843) 522-5900
989 Ribaut Rd
Ste 130
Beaufort, SC 29902
Phone (843) 522-7800
122 Okatie Center Blvd N
Ste 130
Okatie, SC 29909
Phone (843) 273-7980
Interoperability endpoints
- joseph.pedersen.1@16436.direct.athenahealth.com
- joseph.pedersen.1@19475.direct.athenahealth.com
- jpedersen@direct.mhg.com
- jpedersen1178850@direct.unc.nchie.net
- jpedersen580293@directb.mercy.net
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Beaufort, SC
- NPI 1174769764
-
dba Gastroenterology and Hepatology of the Bluegrass
- Gastroenterology Physician
- Georgetown, KY
- NPI 1164867883
-
dba Watauga Medical Center
- Hospitalist Physician
- Boone, NC
- NPI 1528134194
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Centerpoint Family Medicine - Lawrenceburg
- Rural Health Clinic/Center
- Lawrenceburg, KY
- NPI 1922860758
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
dba Watauga Medical Center
- Hematology & Oncology Physician
- Boone, NC
- NPI 1861567893
Radiation Oncology
-
- Radiation Oncology Physician
- Ahoskie, NC
- NPI 1124055645
-
- Orthopaedic Surgery Physician
- Port Royal, SC
- NPI 1053647164
-
dba ECU Health Roanoke-Chowan Hospital
- General Acute Care Hospital
- Ahoskie, NC
- NPI 1467441394
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1417969064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2917",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415022917",
"telephone_number": "606-218-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BYPASS RD",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011689",
"telephone_number": "606-218-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "JOSEPH",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD-067177-L",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KY",
"license": "34198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS",
"identifier": "001765945",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013753370001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.