JONATHAN PETERSON M.D.
NPI 1003882010
Psychiatry & Neurology - Geriatric Psychiatry in Wabasha, MN
NPI Status: Active since February 28, 2006
Contact Information
1200 GRANT BLVD W
WABASHA, MN
ZIP 55981
Phone: (651) 565-5908
Fax: (651) 565-5910
- Individual
- Male
- Psychiatry & Neurology
- Geriatric Psychiatry
About JONATHAN PETERSON
This page provides the complete NPI Profile along with additional information for Jonathan Peterson, a provider established in Wabasha, Minnesota with a medical specialization in Psychiatry & Neurology, focusing in geriatric psychiatry . The healthcare provider is registered in the NPI registry with number 1003882010 assigned on February 2006. The practitioner's primary taxonomy code is 2084P0805X with license number 33320 (MN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1003882010
- Provider Name
- JONATHAN PETERSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1200 GRANT BLVD W WABASHA, MN 55981
- Location Phone
- (651) 565-5908
- Location Fax
- (651) 565-5910
- Mailing Address
- 1200 GRANT BLVD W WABASHA, MN 55981
- Mailing Phone
- (651) 565-5908
- Mailing Fax
- (651) 565-5910
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-28-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Geriatric Psychiatry
- Taxonomy Code
- 2084P0805X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 33320
- License State
- MN
- Taxonomy Description
- Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F35248 | MEDICARE UPIN (02) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 8 | 8 | 2 | 0 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 16 | 8 | 4 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 1 + 6 + 8 + 4 + 0 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003882010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447226469 | JOHN F HUST RN, CRNA Individual | Nurse Anesthetist, Certified Registered | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5580 |
| 1265408116 | FRANK ROD MILLER Individual | Registered Nurse | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5580 |
| 1174623334 | MARLENE KOSOBUCKI PT Individual | Physical Therapist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-4531 |
| 1508010158 | MRS. CAMILLA LYNN KOHUTKO PT Individual | Physical Therapist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5558 |
| 1003040718 | KURT L HENN PHARMD Individual | Pharmacist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5562 |
| 1265765614 | AMY EDGE PHARM.D. Individual | Pharmacist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5527 |
| 1598005290 | JEFFREY DARLING PT Individual | Physical Therapist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5558 |
| 1720255219 | KATHLEEN BARRETT O.T.R. Individual | Occupational Therapist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5579 |
| 1518339415 | RYAN RANDY REIDT DPT Individual | Physical Therapist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5558 |
| 1164977880 | ELIZABETH NOFSINGER DPT Individual | Physical Therapist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-4531 |
| 1538392626 | DR. AMY MARIE SAPOLA RPH, PHARM D. Individual | Pharmacist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5611 |
| 1376047431 | DR. BRADY RITSCHER PHARMD Individual | Pharmacist | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5611 |
| 1245727056 | MALINDA JEAN WISE MSW, LICSW Individual | Social Worker (Clinical) | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5600 |
| 1851634620 | DR. SOLEIL ARRIETA M.D. Individual | Family Medicine | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-4531 |
| 1902876808 | SHARON RIESTER FNP Individual | Nurse Practitioner (Family) | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5600 |
| 1053785840 | MATTHEW WAGNER Individual | Nurse Practitioner (Family) | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5600 |
| 1851858112 | PAULA KAE THOMPSON RDN, LD, CDE Individual | Dietitian, Registered | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5568 |
| 1245279504 | JON A VANLOON MD Individual | Psychiatry & Neurology (Psychiatry) | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5600 |
| 1457617193 | LUKE CARL HELLAND Individual | Emergency Medicine | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-4531 |
| 1821068826 | PHILLIP P. SCHWEND DO Individual | Surgery | 1200 GRANT BLVD W WABASHA, MN 55981 (651) 565-5600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003882010, enumerated in the NPI registry as an "individual" on February 28, 2006
The provider is located at 1200 Grant Blvd W Wabasha, Mn 55981 and the phone number is (651) 565-5908
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0805X with a focus in Geriatric Psychiatry
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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