THOMAS P PELLER MD SC NPI 1215008875

NPI Information

  • NPI: 1215008875
  • Provider Name: THOMAS P PELLER MD SC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 714 W HAMILTON AVE
    EAU CLAIRE, WI
    ZIP 54701
  • Phone: (715) 830-9990

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NPI Details

THOMAS P PELLER MD SC is a gastroenterology internal medicine in Eau Claire, WI. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. THOMAS P PELLER MD SC NPI is 1215008875. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

714 W HAMILTON AVE
EAU CLAIRE, WI
ZIP 54701-937
Phone: (715) 830-9990
Fax: (715) 830-9995

The provider's authorized official is Thomas P Peller .
The authorized official title is Director President and has the following contact phone number (715) 830-9990.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 3/10/2009.

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
1207RG0100XInternal MedicineGastroenterology34997WISCONSINYes

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
120340MEDICARE PINWISCONSIN
2F86180MEDICARE UPINWISCONSIN
3000120340MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
432016000MEDICAIDWISCONSIN

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: 11/21/2025

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