DAVID IAN PETERSON PA NPI 1891482360

NPI Information

NPI: 1891482360
Provider Name: DAVID IAN PETERSON, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO
ZIP 80109
Phone: (303) 842-2362
Get Directions

David Ian Peterson, PA is a medical physician assistant in Castle Rock, CO with 2 years of experience. David Ian Peterson, PA NPI is 1891482360. 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:

2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO
ZIP 80109-419
Phone: (303) 842-2362

The NPI 1891482360 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 enumeration date for this NPI number is 4/24/2023 and was last updated on 8/4/2023.

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	363AM0700X	Physician Assistant	Medical	PA.0007841	COLORADO	Yes
2	363A00000X	Physician Assistant		PA.0007841	COLORADO	No

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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