Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101055569 | VA |
N | 207VX0000X | Obstetrician | 0101055569 | VA |
NPI | 1144259011 |
---|---|
Provider Name | Peter Steven Pyatak |
First Address | Fredericksburg, VA 22401-8431 |
Second Address | Fredericksburg, VA 22401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 31/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010237696 | (05) | VA |
010237718 | (05) | VA |
0929005 | CIGNA (01) | VA |
1164229 | AETNA HMO (01) | VA |
187974 | ANTHEM BCBS OF VA (01) | VA |
187976 | ANTHEM BCBS OF VA (01) | VA |
27993 | SENTARA (01) | VA |
332378 | SOUTHERN HEALTH SERVICES (01) | VA |
382013 | MAMSI (01) | VA |
4369562 | AETNA LIFE (01) | VA |
C58813 | (02) | VA |