DR. ERIC J PETERSEN M.D. NPI 1184890543

NPI Information

NPI: 1184890543
Provider Name: DR. ERIC J PETERSEN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
205 E TORONTO AVE
MCALLEN, TX
ZIP 78503
Phone: (956) 687-6155
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DR. Eric J Petersen, M.D. is a family medicine in Mcallen, TX. 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. DR. Eric J Petersen, M.D. NPI is 1184890543. 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:

205 E TORONTO AVE
MCALLEN, TX
ZIP 78503-209
Phone: (956) 687-6155
Fax: (956) 618-0451

The enumeration date for this NPI number is 5/6/2008 and was last updated on 7/12/2016.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	43275	TEXAS	No
2	207Q00000X	Family Medicine	MD 60036832	WASHINGTON	No
3	207Q00000X	Family Medicine	7333423-1205	UTAH	No
4	390200000X	Student in an Organized Health Care Education/Training Program	ML 20009169	WASHINGTON	No
5	207Q00000X	Family Medicine	N8336	TEXAS	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	MD 60036832	OTHER	WASHINGTON	WASHINGTON
2	N8336	OTHER	TEXAS	MEDICAL LICENSE
3	000066521	MEDICARE PIN	UTAH
4	P00764206 MCRR	MEDICARE PIN	UTAH
5	20009169	OTHER	WASHINGTON	MEDICAL LICENSE
6	7333423-1205	OTHER	UTAH	MEDICAL LICENSE

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

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