Allan E Peterson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19419 Issued in IA

Practice address

410 N 12TH St
Oskaloosa, IA 52577-2495

Phone

(641) 672-3360

Fax

(641) 672-2258

NPI assigned

Oct 11, 2005

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

Locations

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 Medical Center P C

  • Family Medicine Physician
  • Oskaloosa, IA
  • NPI 1326012030
  NPD

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1801884184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774246",
            "telephone_number": "641-672-3360",
            "fax_number": "641-672-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 12TH ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772495",
            "telephone_number": "641-672-3360",
            "fax_number": "641-672-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ALLAN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "19419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "19419",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osky Pharmacy LLC
• Lindsay Beth Overton, MSLP
• Nicole Palmquist, RDN, LD
• Kyler Michael Parkinson, CRNA
• Kim Alan Pearson, NURSE ANESTHETIST
• Scotlan Raeann Peterson, ARNP, CNM
• Robert M Pettis, M.D.
• Jarrod D Phelps, PA-C
• Braden Ashvin Phetkhamchanh
• Lisa Kay Phillips, LMHC, LMSW

• Family Medicine Physician in Oskaloosa, IA
• Providers in Oskaloosa, 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 18, 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.