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JOHN DALE PETERSON DO NPI 1023239753


NPI Information

NPI: 1023239753
Provider Name: JOHN DALE PETERSON, DO
Classification: Anesthesiology - 207LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: ANESTHESIA CONSULTING SERVICES, PA

PECOS Registration: Yes

Address:
929 N SAINT FRANCIS ST
WICHITA, KS
ZIP 67214
Phone: (800) 374-5326
Get Directions

John Dale Peterson, DO is a critical care medicine anesthesiology in Wichita, KS with 20 years of experience. The provider is an anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. John Dale Peterson, DO NPI is 1023239753. 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:

929 N SAINT FRANCIS ST
WICHITA, KS
ZIP 67214-821
Phone: (800) 374-5326
Fax: (800) 374-7656

The NPI 1023239753 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

The enumeration date for this NPI number is 5/1/2007 and was last updated on 11/18/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology0531672KANSASNo
2207LC0200XAnesthesiologyCritical Care Medicine0531672KANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200611100BMEDICAIDKANSAS
2200611100AMEDICAIDKANSAS
3110173164MEDICARE PINKANSAS
4110017033MEDICARE PINKANSAS
5P00727380OTHERKANSASRR MEDICARE GROUP CQ2302

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.