Organization Active NPI

Linda M. Peterson, MD, PLLC

  • Family Medicine Physician
  • Montrose, CO
National Provider Identifier
1851587638
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33938 Issued in CO
Legal business name
LINDA M. PETERSON, MD, PLLC
Practice address
401 S Park Ave
Montrose, CO 81401-5741
Phone
(970) 240-8199
NPI assigned
Sep 14, 2007
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Linda M Peterson, MDNPI 1376545681
Title
Owner
Phone
(970) 240-8199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 33938 CO Primary

Addresses

Primary practice location

401 S Park Ave
Montrose, CO 81401-5741

Mailing address

401 S Park Ave
Montrose, CO 81401-5741
Phone (970) 240-8199

National Provider Directory

National Provider Directory

Locations

1404 Hawk Pkwy
Unit 314
Montrose, CO 81401
Phone (970) 240-8199

401 S Park Ave
Montrose, CO 81401
Phone (970) 240-8199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1851587638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S PARK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015741",
            "telephone_number": "970-240-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S PARK AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015741",
            "telephone_number": "970-240-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA M. PETERSON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-240-8199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "33938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.