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DR. JACK T PETERSON MD NPI 1508860487


NPI Information

NPI: 1508860487
Provider Name: DR. JACK T PETERSON, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
631 SW HORNE ST
STE 400
TOPEKA, KS
ZIP 66606
Phone: (785) 234-9000
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DR. Jack T Peterson, MD is a specialist in Topeka, KS with 41 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jack T Peterson, MD NPI is 1508860487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1983

The provider's business location address is:

631 SW HORNE ST
STE 400
TOPEKA, KS
ZIP 66606-661
Phone: (785) 234-9000
Fax: (785) 234-9119

The NPI 1508860487 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 6/9/2005 and was last updated on 4/24/2012.


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
1174400000XSpecialist0422259KANSASYes

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
1240007246OTHERKANSASRAILROAD MEDICARE
2100516MEDICARE ID-TYPE UNSPECIFIEDKANSASMEDICARE FOR DR. PETERSON
3481191346OTHERKANSASTAX ID
4100144860BMEDICAIDKANSAS
5D09155MEDICARE UPINKANSAS
6628770OTHERKANSASFIRST GUARD
7100516OTHERKANSASBLUE CROSS

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: 4/28/2024

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.