Active NPI
Joseph Peterson, M.D.
- Obstetrics & Gynecology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0097396
- Practice address
- 5045 Carpenter Creek Dr
Pensacola, FL 32503-2521 - Phone
- (850) 416-2400
- Fax
- (850) 416-2467
- NPI assigned
- Jan 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME0097396 | FL | Primary |
Addresses
Primary practice location
5045 Carpenter Creek Dr
Pensacola, FL 32503-2521
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5045 Carpenter Creek Dr
Pensacola, FL 32503-2521
Phone (850) 416-2400
Hospital & facility affiliations
- Sacred Heart Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0097396 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Escambia Community Clinics, Inc | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Escambia Community Clinics Inc | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Florida Medical Practice Plan Inc | Current | Accepting new patients | |
| Escambia Community Clinics Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Sacred Heart Health System, Inc. | Past | Accepting new patients |
Locations
1399 Country Club Rd
Gulf Breeze, FL 32563
Phone (850) 416-4709
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
5520 Stewart St
Milton, FL 32570
Phone (850) 891-9433
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400
14 W Jordan St
Pensacola, FL 32501
Phone (800) 436-4630
2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955
1657 Trinity Dr
Pensacola, FL 32504
Phone (850) 416-2400
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
4449 Meandering Way
Tallahassee, FL 32308
Phone (850) 201-0956
Interoperability endpoints
- joseph.peterson.2@9582.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1518971597
-
- General Practice Physician
- Tallahassee, FL
- NPI 1326386293
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1841487634
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1629789466
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1770769820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-416-2400",
"fax_number": "850-416-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 CARPENTER CREEK DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032521",
"telephone_number": "850-416-2400",
"fax_number": "850-416-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0097396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.