Dr. Ernest C Peterson , MD
Surgery • Boise, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ernest Peterson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Ernest Peterson, MD was a registered Surgery practicing in Boise, ID. Throughout an active medical career spanning 19 years, Dr. Peterson provided care at the practice location at 500 W FORT ST until profile deactivation on 2025-09-11.
Practice Location & Contact Primary Location
500 W Fort St
Boise, ID 837024501
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery in Boise, ID
Practicing in Boise, ID (187 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant - Surgical
Physician Assistant (Certified)
Nurse Practitioner - Women's Health
Nurse Practitioner
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Physician Assistant - Surgical
Physician Assistant (Certified)
Physician Assistant - Surgical
Physician Assistant
Physician Assistant - Surgical
MPASPAC
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 11, 2025
NPI status registered as active in NPPES database
Registered at 500 W FORT ST, BOISE, ID 837024501 (Tel: 2084221136)
Registered at 7212 AVON ST, BOISE, ID 837044509 (Tel: 2083770129)
Recorded as ERNEST PETERSON, MD
Surgery (License #M-4978 in ID)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
7212 Avon St
Boise, ID 837044509
Phone: 2083770129
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.