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Deactivated NPI 1912065483 Deactivated / Inactive NPI Male Practitioner

Dr. John R Peterson , MD

General Practice • Rushford, MN

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

Registration / Start Date December 05, 2006
NPI Deactivation Date March 03, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. John Peterson, MD was a registered General Practice practicing in Rushford, MN. Throughout an active medical career spanning 16 years, Dr. Peterson provided care at the practice location at 212 S MILL ST until profile deactivation on 2022-03-03.

Practice Location & Contact Primary Location

Practice Address

212 S Mill St

Rushford, MN 55971

Telephone 5078647726
Fax 5078643680
Associated Practice Facility / Clinic
🏢 Winona Health Services Facility NPI 1801133400

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Rushford, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Rushford, MN (95 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MN 14140

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Diane Montgomery , PT

Physical Therapist

NPI 1023356557

Physical Therapist

Dr. Stephanie Rae , DPT

Physical Therapist

NPI 1215275391

Doctor of Physical Therapy

Joel Stevens , PA-C

Physician Assistant

NPI 1245255421

Physician Assistant (Certified)

Katie Halder , RN, CNP

Nurse Practitioner - Family

NPI 1396971461

Registered Nurse, Certified Nurse Practitioner

Dr. Brianna Frisch , DPT

Physical Therapist

NPI 1487904017

Doctor of Physical Therapy

Dr. Kristine Raadt , DPT

Physical Therapist

NPI 1629413646

Doctor of Physical Therapy

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 March 03, 2022

Record deactivated on March 03, 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 212 S MILL ST, RUSHFORD, MN 55971 (Tel: 5078647726)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 579, 212 S MILL ST, RUSHFORD, MN 55971 (Tel: 5078647726)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PETERSON, MD

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

General Practice (License #14140 in MN)

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Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912065483
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: July 08, 2007
Deactivation Date: March 03, 2022

Mailing Address

Po Box 579, 212 S Mill St

Rushford, MN 55971

Phone: 5078647726

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.