DR. RYAN JON PETERSEN M.D. NPI 1568551521

NPI Details

DR. Ryan Jon Petersen, M.D. is an emergency medicine in Roseburg, OR with 21 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Ryan Jon Petersen, M.D. NPI is 1568551521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2005

The provider's business location address is:

2700 NW STEWART PKWY
ROSEBURG OR 97471
ROSEBURG, OR
ZIP 97471-281
Phone: (314) 750-3965

The NPI 1568551521 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 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.

• Emergency department visit for life threatening or functioning severity (HCPCS:99285)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
• Emergency department visit for problem of high severity (HCPCS:99284)
• Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 10/11/2006 and was last updated on 5/9/2025.

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: