Michael E Peterson MD PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MICHAEL E PETERSON MD PC

Practice address

605 N Foster
Mitchell, SD 57301-2902

Phone

(605) 668-8850

Fax

(605) 668-9448

NPI assigned

Oct 12, 2006

Last updated

Feb 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael E Peterson, M.D.NPI 1336238757

Title

President

Phone

(605) 668-8850

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael E Peterson, M.D.

  • Radiation Oncology Physician
  • Yankton, SD
  • NPI 1336238757
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1346339777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "STE 12",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783730",
            "telephone_number": "605-668-8704",
            "fax_number": "605-668-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N FOSTER",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012902",
            "telephone_number": "605-668-8850",
            "fax_number": "605-668-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E PETERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-668-8850",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Radiation Oncology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.