WALTER J M PEDERSEN JR MD PC
NPI 1184808065
Prosthetic/Orthotic Supplier in St Croix, VI

Q: What is Walter J M Pedersen Jr MD PC's NPI number?

The NPI number for Walter J M Pedersen Jr MD PC is 1184808065. It was assigned to this organization in the NPPES registry on December 27, 2007.

Q: What is Walter J M Pedersen Jr MD PC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since December 27, 2007

SUNNY ISLE PROF BLDG, SUITE 3F, ST CROIX, VI 00823(340) 778-6110(340) 778-2919 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Walter J M Pedersen Jr Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER J M PEDERSEN JR MD PC (NPI 1184808065) is a healthcare organization registered as a prosthetic/orthotic supplier in St Croix, Virgin Islands and active in the NPI registry since December 2007. The organization lists Walter J M Pedersen, President, as its authorized official.

NPPES Registry Identity

NPI1184808065

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameWALTER J M PEDERSEN JR MD PC

Location AddressSUNNY ISLE PROF BLDG, SUITE 3FSt Croix, VI 00823-4423

Mailing AddressPo Box 7840Christiansted, VI 00823-7840 · (340) 778-6110 · Fax (340) 778-2919

Phone(340) 778-6110

Fax(340) 778-2919

Organization SubpartNo

Authorized OfficialWalter J M PedersenPresident · (340) 778-6110

Enumeration DateDecember 27, 2007

Last NPPES UpdateJuly 10, 2012

✔ NPI 1184808065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in VI · 653

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 653 (VI)

SUNNY ISLE PROF BLDG, St Croix, VI 00823

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Other Identifiers 10

OtherVI000011VI · Tricare

Medicare UPING40288VI

Other53699PEVI · Triple-s

Medicare NSC4828560001VI

Other0500138VI · Humana

Other1780671909VI · Npi

Medicare PIN0024441VI

Other089045VI · Bcbsvi

Other1184808065VI · Npi

Other170823200VI · Usdl

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter J M Pedersen Jr MD PC's NPI number?

The NPI number for Walter J M Pedersen Jr MD PC is 1184808065. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Walter J M Pedersen Jr MD PC located?

Walter J M Pedersen Jr MD PC is located at Sunny Isle Prof Bldg Suite 3F, St Croix, VI 00823. The listed phone number is (340) 778-6110.

What is Walter J M Pedersen Jr MD PC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Walter J M Pedersen Jr MD PC was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.