MARK L PEDERSEN M. D. NPI 1801894282

NPI Information

NPI: 1801894282
Provider Name: MARK L PEDERSEN, M. D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Address:
1948 1ST AVE NE
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 364-0121
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Mark L Pedersen, M. D. is a vascular and interventional radiology radiology in Cedar Rapids, IA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Mark L Pedersen, M. D. NPI is 1801894282. 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:

1948 1ST AVE NE
CEDAR RAPIDS, IA
ZIP 52402-321
Phone: (319) 364-0121
Fax: (319) 364-5684

The enumeration date for this NPI number is 7/11/2005 and was last updated on 8/17/2011.

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	2085R0202X	Radiology	Diagnostic Radiology	27460	IOWA	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	27460	IOWA	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
1	2063628	MEDICAID	IOWA
2	E56744	MEDICARE UPIN	IOWA
3	46790	MEDICARE PIN	IOWA

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: 4/28/2024

NPI Synchronization or Removal

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