THOMAS L PETERSON MD NPI 1609820620

NPI Information

  • NPI: 1609820620
  • Provider Name: THOMAS L PETERSON, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1700 W STOUT ST
    RICE LAKE, WI
    ZIP 54868
  • Phone: (715) 236-8100

Map and Directions

Get Directions

NPI Details

Thomas L Peterson, MD is an emergency medicine in Rice Lake, WI. 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. Thomas L Peterson, MD NPI is 1609820620. 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:

1700 W STOUT ST
RICE LAKE, WI
ZIP 54868-000
Phone: (715) 236-8100

The NPI 1609820620 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 5/22/2006 and was last updated on 2/15/2010.

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
1207PE0004XEmergency MedicineEmergency Medical ServicesWI26696WISCONSINNo
2207PP0204XEmergency MedicinePediatric Emergency MedicineWI26696WISCONSINNo
3207PT0002XEmergency MedicineMedical ToxicologyWI26696WISCONSINNo
4207P00000XEmergency MedicineWI26696WISCONSINYes

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
10029MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
2B55719MEDICARE UPIN
330653800MEDICAIDWISCONSIN

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI