MARK STEVEN PETERSON MD NPI 1588635544

NPI Information

NPI: 1588635544
Provider Name: MARK STEVEN PETERSON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
677 N WILMOT RD
TUCSON, AZ
ZIP 85711
Phone: (520) 795-2889
Get Directions

Mark Steven Peterson, MD is a diagnostic radiology radiology in Tucson, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark Steven Peterson, MD NPI is 1588635544. 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:

677 N WILMOT RD
TUCSON, AZ
ZIP 85711-701
Phone: (520) 795-2889
Fax: (520) 795-6321

The NPI 1588635544 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 2/27/2013.

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	2085B0100X	Radiology	Body Imaging	23713	ARIZONA	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	23713	ARIZONA	No
3	2085R0202X	Radiology	Diagnostic Radiology	23713	ARIZONA	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	Other Provider Identifier Issuer
1	005472	OTHER	ARIZONA	GROUP MEDICAID ID
2	Z68521	MEDICARE PIN	ARIZONA
3	1841261989	OTHER	ARIZONA	GROUP NPI
4	E55841	MEDICARE UPIN
5	645369	MEDICAID	ARIZONA
6	CS7943	OTHER	ARIZONA	GROUP MEDICARE RAILROAD ID & PTAN
7	1588635544	OTHER	ARIZONA	PHYSICIAN INDIVIDUAL NPI
8	300129081	OTHER	ARIZONA	MEDICARE RAILROAD
9	ZWCBBM	OTHER	ARIZONA	GROUP MEDICARE ID

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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