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DR. JASEN THOMAS PEDERSEN DPM NPI 1114182326


NPI Information

NPI: 1114182326
Provider Name: DR. JASEN THOMAS PEDERSEN, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
6400 WESTWIND WAY
SUITE B
CRESTWOOD, KY
ZIP 40014
Phone: (502) 276-9999
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DR. Jasen Thomas Pedersen, DPM is a foot and ankle surgery podiatrist in Crestwood, KY with 16 years of experience. DR. Jasen Thomas Pedersen, DPM NPI is 1114182326. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2008

The provider's business location address is:

6400 WESTWIND WAY
SUITE B
CRESTWOOD, KY
ZIP 40014-773
Phone: (502) 276-9999
Fax: (502) 276-9999

The NPI 1114182326 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of single thickened skin growth (HCPCS:11055)

The enumeration date for this NPI number is 7/28/2008 and was last updated on 4/27/2020.


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
1213E00000XPodiatrist243971KENTUCKYNo
2213ES0103XPodiatristFoot & Ankle Surgery243971KENTUCKYYes

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
17100170810MEDICAIDKENTUCKY
2000000866560OTHERKENTUCKYANTHEM

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.