DR. RICHARD ALVIN PETERSON M.D. NPI 1699717561

NPI Information

NPI: 1699717561
Provider Name: DR. RICHARD ALVIN PETERSON, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
640 JACKSON ST
SAINT PAUL, MN
ZIP 55101
Phone: (651) 254-3448
Get Directions

DR. Richard Alvin Peterson, M.D. is a neurology psychiatry neurology in Saint Paul, MN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Richard Alvin Peterson, M.D. NPI is 1699717561. 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:

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101-502
Phone: (651) 254-3448
Fax: (763) 302-4081

The NPI 1699717561 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 2/24/2021.

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	2084N0400X	Psychiatry & Neurology	Neurology	47556	MINNESOTA	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	1043493	OTHER	MINNESOTA	PREFERRED ONE
2	34640200	MEDICAID	WISCONSIN
3	132846C029	OTHER	MINNESOTA	UCARE
4	HP51315	OTHER	MINNESOTA	HEALTHPARTNERS
5	236934600	MEDICAID	MINNESOTA
6	01N64PE	OTHER	MINNESOTA	BCBS OF MN
7	0500505	OTHER	MINNESOTA	MEDICA
8	2350907	OTHER	MINNESOTA	AAMERICA'S PPO
9	P00225563	OTHER	MINNESOTA	RAILROAD MEDICARE

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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