Dr. Peter Paul Foderick , MD
General Practice • Ada, MN
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. Peter Foderick has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Peter Foderick, MD was a registered General Practice practicing in Ada, MN. Throughout an active medical career spanning 16 years, Dr. Foderick provided care at the practice location at 506 4TH AVE W until profile deactivation on 2024-12-26.
Practice Location & Contact Primary Location
506 4th Ave W
506 Fourth Ave.w
Ada, MN 565101011
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Ada, MN
Practicing in Ada, MN (95 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 December 26, 2024
NPI status registered as active in NPPES database
Registered at 506 4TH AVE W, 506 FOURTH AVE.W, ADA, MN 565101011 (Tel: 2187844848)
Registered at 506 FOURTH AVE.W, P.O.BOX189, ADA, MN 565100189 (Tel: 2187844848)
Recorded as PETER FODERICK, M.D.
General Practice (License #13953 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
506 Fourth Ave.w, P.o.box189
Ada, MN 565100189
Phone: 2187844848
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