TODD VICTOR PETERSON MD NPI 1023012408

NPI Information

  • NPI: 1023012408
  • Provider Name: TODD VICTOR PETERSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 3208 BALTUSROL DR
    CHAMBERSBURG, PA
    ZIP 17202
  • Phone: (717) 860-0890

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NPI Details

Todd Victor Peterson, MD is a family medicine in Chambersburg, PA. 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. Todd Victor Peterson, MD NPI is 1023012408. 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:

3208 BALTUSROL DR
CHAMBERSBURG, PA
ZIP 17202-038
Phone: (717) 860-0890

The enumeration date for this NPI number is 6/13/2005 and was last updated on 3/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD065733LPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
125-1716306OTHERPENNSYLVANIAHEALTHNET/TRICARE
250059950OTHERPENNSYLVANIACAPITAL BLUECROSS (EPIQ)
350085311OTHERPENNSYLVANIACAPITAL BLUECROSS (WH)
4080135921OTHERPENNSYLVANIARAILROAD MEDICARE
52134441OTHERPENNSYLVANIAAETNA HMO
625-1716306OTHERPENNSYLVANIAINTERGROUP
725-1716306OTHERPENNSYLVANIAGREATWEST HEALTHCARE
825-1716306OTHERPENNSYLVANIADEVON
91007307260034OTHERPENNSYLVANIAMEDICAID GROUP #
1025-1716306OTHERPENNSYLVANIAINFORMED
11426611OTHERPENNSYLVANIAHEALTH AMERICA
125957727OTHERPENNSYLVANIAAETNA NON-HMO
13PE085826OTHERPENNSYLVANIAHIGHMARK BLUESHIELD
140017392500005MEDICAIDPENNSYLVANIA
15120420420OTHERPENNSYLVANIADEPT OF LABOR
16122865OTHERPENNSYLVANIAUNISON
17867633OTHERPENNSYLVANIAMEDICARE GROUP #
18G920-0027/KDM4POOTHERPENNSYLVANIACAREFIRST
1925-1716306OTHERPENNSYLVANIASOUTH CENTRAL PREFERRED
20MD065733LOTHERPENNSYLVANIALICENSE
21001739250 0007MEDICAIDPENNSYLVANIA
222117289OTHERPENNSYLVANIAMAMSI
2325-1716306OTHERPENNSYLVANIAMULTIPLAN/PHCS
242160082OTHERPENNSYLVANIAFIRST HEALTH

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: 11/21/2025

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