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STEVE LEROY PETERSON M.D. NPI 1306849500


NPI Information

NPI: 1306849500
Provider Name: STEVE LEROY PETERSON, M.D.
Classification: Otolaryngology - 207YX0905X
Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

Organization: TRICITIES SKIN AND CANCER.

PECOS Registration: Yes

Address:
1009 NORTH STATE OF FRANKLIN ACCESS ROAD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 929-7546
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Steve Leroy Peterson, M.D. is an otolaryngology/facial plastic surgery otolaryngology in Johnson City, TN with 26 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Steve Leroy Peterson, M.D. NPI is 1306849500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1998

The provider's business location address is:

1009 NORTH STATE OF FRANKLIN ACCESS ROAD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 929-7546
Fax: (423) 929-7968

The NPI 1306849500 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.

  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 11/5/2014.


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
1207ND0101XDermatologyMOHS-Micrographic Surgery39354TENNESSEENo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck39354TENNESSEENo
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery39354TENNESSEEYes

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.