John Cleve Peterson III, M.D., M.P.H.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

11059 Issued in WA

Practice address

7030 N Mercer Way
Mercer Island, WA 98040-2130

Phone

(206) 232-7669

Fax

(206) 232-7679

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roosevelt Medical Center Trust

  dba James C Coghlan, MD

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1215973144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023111002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 N MERCER WAY",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402130",
            "telephone_number": "206-232-7669",
            "fax_number": "206-232-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 N MERCER WAY",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402130",
            "telephone_number": "206-232-7669",
            "fax_number": "206-232-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JOHN",
        "middle_name": "CLEVE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WA",
            "license": "11059",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "11059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmy Patel, DPT
• Karishma Patel, PT
• Alison F Paul, DPT(DOCTOR OF PHYSIC
• Alexandra Peterson
• Charles A Peterson, M.D.
• Linda Peterson, MA/CCC SLP/AUD
• Alex Toan Pham
• Carter Ryan Phillips, PT, DPT
• Edyth Darlene Phillips, M.D.
• Ryan Cory Phillips, RPH

• Adult Medicine Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Adult Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.