MR. CARL EDWIN PETERS PA NPI 1063458636

NPI Information

  • NPI: 1063458636
  • Provider Name: MR. CARL EDWIN PETERS, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 1551 INDIAN HILLS DR
    SIOUX CITY, IA
    ZIP 51104
  • Phone: (712) 258-4700

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NPI Details

MR. Carl Edwin Peters, PA is a physician assistant in Sioux City, IA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Carl Edwin Peters, PA NPI is 1063458636. 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:

1551 INDIAN HILLS DR
SIOUX CITY, IA
ZIP 51104-859
Phone: (712) 258-4700
Fax: (712) 258-4777

The enumeration date for this NPI number is 6/21/2006 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
1363A00000XPhysician Assistant001490IOWAYes

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: 3/30/2025

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