Dr. Larry Dean Peterson , MD
General Practice • East Moline, IL
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. Larry Peterson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Larry Peterson, MD was a registered General Practice practicing in East Moline, IL. Throughout an active medical career spanning 10 years, Dr. Peterson provided care at the practice location at 209 19TH ST until profile deactivation on 2017-09-18.
Practice Location & Contact Primary Location
209 19th St
East Moline, IL 61244
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in East Moline, IL
Practicing in East Moline, IL (355 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 18, 2017
NPI status registered as active in NPPES database
Registered at 209 19TH ST, EAST MOLINE, IL 61244 (Tel: 3097552944)
Registered at 2701 BLACKHAWK RD, ROCK ISLAND, IL 61201 (Tel: 3097881787)
Recorded as LARRY PETERSON, MD
General Practice
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
2701 Blackhawk Rd
Rock Island, IL 61201
Phone: 3097881787
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