JOHN P PETERSEN MD PA
NPI 1215151113
Specialist in Vero Beach, FL
NPI Status: Active since April 12, 2007
Contact Information
3555 10TH CT
VERO BEACH, FL
ZIP 32960
Phone: (772) 794-3333
Fax: (772) 569-6949
- Organization
- Specialist
About JOHN P PETERSEN MD PA
This page provides the complete NPI Profile along with additional information for John P Petersen Md Pa, a provider established in Vero Beach, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1215151113 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. John Peter Petersen Md (Physician)
- NPI
- 1215151113
- Provider Name
- JOHN P PETERSEN MD PA
- Entity Type
- Organization
- Location Address
- 3555 10TH CT VERO BEACH, FL 32960
- Location Phone
- (772) 794-3333
- Location Fax
- (772) 569-6949
- Mailing Address
- PO BOX 100013 ATLANTA, GA 30384
- Mailing Phone
- (770) 693-5818
- Mailing Fax
- (772) 569-6949
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-12-2007
- Last Update Date
- 03-25-2020
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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 |
|---|---|---|---|
| 374792100 | MEDICAID (05) | FL | |
| 920004346 | OTHER (01) | FL | RAILROAD MEDICARE |
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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 | 2 | 1 | 5 | 1 | 5 | 1 | 1 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 2 | 5 | 2 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 2 + 5 + 2 + 1 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1215151113 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801283171 | JONATHAN BRAUE Individual | Dermatology | 3555 10TH CT VERO BEACH, FL 32960 (772) 563-4673 |
| 1417312802 | INDIAN RIVER HEALTH SERVICES INC Organization | Clinic/Center (Oncology) | 3555 10TH CT STE. 203 VERO BEACH, FL 32960 (772) 226-4810 |
| 1407155153 | MRS. ASHLEY CRISTINA MAYS MD Individual | Otolaryngology | 3555 10TH CT VERO BEACH, FL 32960 (772) 563-4673 |
| 1497711972 | CHARLES ANDREW SALZBERG MD Individual | Dermatology | 3555 10TH CT VERO BEACH, FL 32960 (772) 463-2010 |
| 1730830381 | STEVIE CONKLIN Individual | Physician Assistant | 3555 10TH CT VERO BEACH, FL 32960 (772) 563-4673 |
| 1770012411 | DR. JEAN-PIERRE OBEID MD Individual | Radiology (Radiation Oncology) | 3555 10TH CT VERO BEACH, FL 32960 (772) 794-3333 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215151113, enumerated in the NPI registry as an "organization" on April 12, 2007
The provider is located at 3555 10th Ct Vero Beach, Fl 32960 and the phone number is (772) 794-3333
This medical organization specializes in Specialist with taxonomy code 174400000X
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 April 12, 2007. 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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