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DR. SCOTT RICHARD PETERSEN M.D. NPI 1912986555


NPI Information

NPI: 1912986555
Provider Name: DR. SCOTT RICHARD PETERSEN, M.D.
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

Address:
500 W THOMAS RD
SUITE 400
PHOENIX, AZ
ZIP 85013
Phone: (602) 406-3157
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DR. Scott Richard Petersen, M.D. is a trauma surgery surgery in Phoenix, AZ. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. DR. Scott Richard Petersen, M.D. NPI is 1912986555. 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:

500 W THOMAS RD
SUITE 400
PHOENIX, AZ
ZIP 85013-224
Phone: (602) 406-3157
Fax: (602) 406-4113

The enumeration date for this NPI number is 1/12/2006 and was last updated on 7/19/2012.


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
1208600000XSurgery14414ARIZONANo
22086S0102XSurgerySurgical Critical Care14414ARIZONANo
32086S0127XSurgeryTrauma Surgery14414ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z81086MEDICARE ID-TYPE UNSPECIFIEDARIZONAPROVIDER NUMBER
2Z79549MEDICARE PINARIZONA
3231720MEDICAIDARIZONA

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: 4/28/2024

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.