DR. JEFFREY PETERMAN M.D. NPI 1184712432

NPI Information

NPI: 1184712432
Provider Name: DR. JEFFREY PETERMAN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
CLIA Number: 23D0994883
Address: 333 MAGAZINE ST
SUITE 102
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 253-9374

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NPI Details

DR. Jeffrey Peterman, M.D. is a family medicine in Sault Sainte Marie, MI with 27 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. Jeffrey Peterman, M.D. NPI is 1184712432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1998

The provider's business location address is:

333 MAGAZINE ST
SUITE 102
SAULT SAINTE MARIE, MI
ZIP 49783-867
Phone: (906) 253-9374
Fax: (906) 253-9002

The NPI 1184712432 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 CLIA number assigned to this NPI record is 23D0994883 - physician office with a certificate type of Certificate of Waiver.

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.

Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Urinalysis, manual test (HCPCS:81002)
Removal of impacted ear wax (HCPCS:69210)

The enumeration date for this NPI number is 10/11/2006 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	207Q00000X	Family Medicine		4301073421	MICHIGAN	Yes

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
1	H52755	MEDICARE UPIN	MICHIGAN
2	4369143	MEDICAID	MICHIGAN
3	0N40570	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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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