Steven L Peterson, M.D.

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

35550 Issued in CO

Practice address

1120 Wellington Ave
Suite 208
Grand Junction, CO 81501-6129

Phone

(970) 254-1686

Fax

(970) 254-1687

NPI assigned

May 10, 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

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.

• Steven L Peterson Professional LLC

  • Surgery of the Hand (Surgery) Physician
  • Grand Junction, CO
  • NPI 1114121282
  NPD (past) Authorized official
• Eldercare , LLC

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1164544144
  NPD (past)
• Northwest Plastic Surgery Associates, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Missoula, MT
  • NPI 1235188046
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1679523930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 COMPASS DR",
            "address_2": "STE 300",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068714",
            "telephone_number": "970-254-1686",
            "fax_number": "970-254-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WELLINGTON AVE",
            "address_2": "SUITE 208",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016129",
            "telephone_number": "970-254-1686",
            "fax_number": "970-254-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CO",
            "license": "35550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00410355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsi Grace Peters
• Ilyana Abagail Peterson-Kreie, LMT
• Caitlin Peterson
• Jaxton Brek Peterson
• Sharyl Bender Peterson, PH.D.
• John Pettijohn, CTRS
• Landon Eireen Pettit, A-GNP-C
• Patrick Scott Pevoto, MD
• Jamie Pfahl
• Brenna Nicole Pham, M.A. CCC-SLP

• Surgery of the Hand (Plastic Surgery) Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.