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DR. SIEGLINDE IRIS PETERSON M.D. NPI 1417989567


NPI Information

NPI: 1417989567
Provider Name: DR. SIEGLINDE IRIS PETERSON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: FAIRVIEW CLINICS

PECOS Registration: Yes

Address:
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN
ZIP 55305
Phone: (952) 993-4649
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DR. Sieglinde Iris Peterson, M.D. is a family medicine in Minnetonka, MN with 23 years of experience. 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. Sieglinde Iris Peterson, M.D. NPI is 1417989567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2001

The provider's business location address is:

15111 TWELVE OAKS CENTER DR
MINNETONKA, MN
ZIP 55305-201
Phone: (952) 993-4649
Fax: (952) 993-4676

The NPI 1417989567 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 10/5/2011.


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
1207Q00000XFamily Medicine44814MINNESOTAYes

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
1303M0PEOTHERMINNESOTABCBS OF MN
21041309OTHERMINNESOTAPREFERRED ONE
32151648OTHERMINNESOTAAMERICA'S PPO
4132018OTHERMINNESOTAUCARE MN
5H65910MEDICARE UPINMINNESOTA
6080013242MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAWPS MEDICARE - B
76607782OTHERMINNESOTAMEDICA UC #
8HP42876OTHERMINNESOTAHEALTHPARTNERS
9697640900MEDICAIDMINNESOTA

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.