John J Petersen, PA is a surgical physician assistant in Medford, OR. John J Petersen, PA NPI is 1164580429. 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:
520 MEDICAL CENTER DR
SUITE 201
MEDFORD, OR
ZIP 97504-334
Phone: (541) 789-5710
The NPI 1164580429 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.
- Heart artery bypass to repair one artery (HCPCS:33533)
- Replacement of left lower heart chamber valve using artificial valve on heart-lung machine (HCPCS:33405)
The enumeration date for this NPI number is 12/5/2006 and was last updated on 1/16/2013.