EDGAR DEREK PESKE MD NPI 1770610198

NPI Information

NPI: 1770610198
Provider Name: EDGAR DEREK PESKE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
125 HARTMAN RD
SUITE A
GREENSBURG, PA
ZIP 15601
Phone: (724) 836-6338
Get Directions

Edgar Derek Peske, MD is a family medicine in Greensburg, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Edgar Derek Peske, MD NPI is 1770610198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

125 HARTMAN RD
SUITE A
GREENSBURG, PA
ZIP 15601-463
Phone: (724) 836-6338
Fax: (724) 836-6337

The enumeration date for this NPI number is 2/27/2007 and was last updated on 7/27/2010.

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
1	207Q00000X	Family Medicine		MD012012E	PENNSYLVANIA	Yes

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
1	446361	MEDICARE ID-TYPE UNSPECIFIED
2	210138	OTHER		UPMC
3	B33416	MEDICARE UPIN
4	13058	OTHER		HEALTH AMERICA
5	1001391	OTHER		GATEWAY
6	0012984500003	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »