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DR. PAUL CHARLES PETERSON MD NPI 1902805518


NPI Information

NPI: 1902805518
Provider Name: DR. PAUL CHARLES PETERSON, MD
Classification: Psychiatry & Neurology - 2084V0102X
Entity Type: Individual

Specialization: Vascular Neurology

Organization: CENTRACARE CLINIC

PECOS Registration: Yes

Address:
1200 6TH AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 255-7891
Get Directions

DR. Paul Charles Peterson, MD is a vascular neurology psychiatry neurology in Saint Cloud, MN with 29 years of experience. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. DR. Paul Charles Peterson, MD NPI is 1902805518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1995

The provider's business location address is:

1200 6TH AVE N
SAINT CLOUD, MN
ZIP 56303-735
Phone: (320) 255-7891
Fax: (320) 255-5882

The NPI 1902805518 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.

  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)
  • Measurement and recording of brain wave (EEG) activity, awake and drowsy (HCPCS:95816)
  • Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)
  • Nerve transmission studies, 5-6 studies (HCPCS:95909)
  • Nerve transmission studies, 7-8 studies (HCPCS:95910)
  • Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)

The enumeration date for this NPI number is 7/15/2005 and was last updated on 4/23/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine200300395NORTH CAROLINANo
22084V0102XPsychiatry & NeurologyVascular Neurology64851MINNESOTAYes
32084V0102XPsychiatry & NeurologyVascular Neurology200300395NORTH CAROLINANo
42084S0012XPsychiatry & NeurologySleep Medicine200300395NORTH CAROLINANo

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: 11/14/2023

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.