Elizabeth Sorrells Peterson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-26672 Issued in KS

Practice address

7311 W 132ND St
Suite 190
Overland Park, KS 66213-1118

Phone

(913) 217-3279

Fax

(502) 508-4660

NPI assigned

Mar 5, 2007

Last updated

Nov 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encompass Medical Group, PA

  dba Encompass Medical Group, PC

  • General Practice Physician
  • Overland Park, KS
  • NPI 1063457299

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1942339106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14012 WINDSOR ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662249779",
            "telephone_number": "913-685-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 W 132ND ST",
            "address_2": "SUITE 190",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131118",
            "telephone_number": "913-217-3279",
            "fax_number": "502-508-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ELIZABETH",
        "middle_name": "SORRELLS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "111793",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-26672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrin Petersen, LMFT
• Hilary A Petersen, MD
• Shane Petersen
• Teresa Petersen, PT, MS, PCS
• Cynthia Sandquist Peterson, P.T.
• Grace Katherine Peterson, LMLP-T
• Kayla Marie Peterson, MS-CCC-SLP
• Lori D Peterson
• Maggie Peterson, LMSW
• Michael Joseph Peterson, PT DPT

• Pediatrics Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.