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Deactivated NPI 1811988694 Deactivated / Inactive NPI Male Practitioner

Dr. James Peterson , MD

Pediatrics • Elkhart, IN

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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. James Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2005
NPI Deactivation Date April 28, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. James Peterson, MD was a registered Pediatrics practicing in Elkhart, IN. Throughout an active medical career spanning 17 years, Dr. Peterson provided care at the practice location at 1627 E BRISTOL ST until profile deactivation on 2022-04-28.

Practice Location & Contact Primary Location

Practice Address

1627 E Bristol St

Elkhart, IN 465143817

Telephone 5742620313
Fax 5742628163
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Elkhart, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.4 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Elkhart, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01022640

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Rosemary Eash , FNP

Nurse Practitioner - Family

NPI 1033300439

Family Nurse Practitioner

NPI 1124715818

Doctor of Osteopathic Medicine (D.O.)

NPI 1194134080

Doctor of Medicine (M.D.)

NPI 1487217352

Doctor of Philosophy (Ph.D.), Registered Dietitian Nutritionist, CD

NPI 1538367321

Doctor of Medicine (M.D.)

NPI 1639160419

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 28, 2022

Record deactivated on April 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1627 E BRISTOL ST, ELKHART, IN 465143817 (Tel: 5742620313)

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Updated Business Mailing Address July 08, 2007

Registered at 1627 E BRISTOL ST, ELKHART, IN 465143817 (Tel: 5742620313)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES PETERSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #01022640 in IN)

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Initial NPI Registration & Enumeration November 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
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NPI Administrative Meta

NPI Number: 1811988694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2005
Last Update: July 08, 2007
Deactivation Date: April 28, 2022

Mailing Address

1627 E Bristol St

Elkhart, IN 465143817

Phone: 5742620313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.