DR. LISA JO PETERSEN M.D.
NPI 1184620957
Family Medicine in Wenatchee, WA

NPI Status: Active since June 24, 2005

Contact Information

933 RED APPLE RD STE D
CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER
WENATCHEE, WA
ZIP 98801
Phone: (509) 665-6125
Fax: (509) 665-6124

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  • Individual
  • Female
  • Family Medicine

About LISA PETERSEN

This page provides the complete NPI Profile along with additional information for Lisa Petersen, a primary care provider established in Wenatchee, Washington with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1184620957 assigned on June 2005. The practitioner's primary taxonomy code is 207Q00000X with license number MD00033127 (WA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1184620957
Provider Name
DR. LISA JO PETERSEN M.D.
Gender
Female
Entity Type
Individual
Location Address
933 RED APPLE RD STE D CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER WENATCHEE, WA 98801
Location Phone
(509) 665-6125
Location Fax
(509) 665-6124
Mailing Address
933 RED APPLE RD STE D CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER WENATCHEE, WA 98801
Mailing Phone
(509) 665-6125
Mailing Fax
(509) 665-6124
Is Sole Proprietor?
No
Enumeration Date
06-24-2005
Last Update Date
06-25-2010
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A primary care provider (PCP) like Lisa Petersen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00033127
License State
WA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
G8854200MEDICARE PIN (08)WA 
G28138MEDICARE UPIN (02)WA 
8192262MEDICAID (05)WA 

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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.
1184620957
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641220910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 2 + 0 + 9 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1184620957 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659373249DR. LIANE M. MIZGALA M.D.
Individual
Obstetrics & Gynecology933 RED APPLE RD STE D CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER
WENATCHEE, WA 98801
(509) 665-6125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184620957, enumerated in the NPI registry as an "individual" on June 24, 2005

The provider is located at 933 Red Apple Rd Ste D Central Washington Hospital Women's Healthcare Center Wenatchee, Wa 98801 and the phone number is (509) 665-6125

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

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 June 24, 2005. 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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