DR. JOHN CLEVE PETERSON M.D. M.P.H. NPI 1023111002

NPI Information

NPI: 1023111002
Provider Name: DR. JOHN CLEVE PETERSON, M.D., M.P.H.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
7030 N MERCER WAY
MERCER ISLAND, WA
ZIP 98040
Phone: (206) 232-7669
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DR. John Cleve Peterson, M.D., M.P.H. is an adult medicine family medicine in Mercer Island, WA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. John Cleve Peterson, M.D., M.P.H. NPI is 1023111002. 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:

7030 N MERCER WAY
MERCER ISLAND, WA
ZIP 98040-130
Phone: (206) 232-7669
Fax: (206) 232-7679

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/8/2007.

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
1	207QA0505X	Family Medicine	Adult Medicine	11059	WASHINGTON	Yes
2	207RG0300X	Internal Medicine	Geriatric Medicine	11059	WASHINGTON	X

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: 5/5/2024

NPI Synchronization or Removal

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