Peterson Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PETERSON FAMILY MEDICINE

Practice address

911 4TH St
Eldorado, IL 62930-1203

Phone

(618) 273-2100

Fax

(618) 273-2110

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Patrick E Peterson, D.O.

Title

Attending Physician

Phone

(618) 273-2100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1750716262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 4TH ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301203",
            "telephone_number": "618-273-2100",
            "fax_number": "618-273-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 4TH ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301203",
            "telephone_number": "618-273-2100",
            "fax_number": "618-273-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "618-273-2100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Colleen Patton
• Alyssa Payne, RN
• Marguerita Ann Pearce, MSW,LCSW
• Maranda Pedigo
• Jamie Penrod, RN
• Jordan S Pilkington
• Jaidyn Porter
• PRN Pharmacies LTD
• Mikajah Questelle, MHP
• Amy Elizabeth Quinn, FNP-C

• Family Medicine Physician in Eldorado, IL
• Providers in Eldorado, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.