James C Peterson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23446 Issued in IA

Practice address

226 Blue Bell Rd
Cedar Falls, IA 50613-0000

Phone

(319) 575-5800

Fax

(319) 575-5855

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Covenant Medical Center Inc

  • Community/Retail Pharmacy
  • Jesup, IA
  • NPI 1922045632
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1639113145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KIMBALL AVE",
            "address_2": "LL14",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025063",
            "telephone_number": "319-272-1590",
            "fax_number": "319-272-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BLUE BELL RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506130000",
            "telephone_number": "319-575-5800",
            "fax_number": "319-575-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "23446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1247973",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Sue Pech, PT, DPT
• Allison Pedersen, DPT
• Perry L Krieger OD & Associates PC
• Abigail June Perry, RDN
• Clint Peters
• Ava Lea Petty
• Lindsay Frances Phillips, M.A., CCC-SLP
• Pineal Anesthesia, PC
• Pinnacle Prairie Senior Living
• Eric Pitts, PA-C

• Family Medicine Physician in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.