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Deactivated NPI 1639371099 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald Iver Peterson , MD

General Practice • Omaha, NE

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

Registration / Start Date June 05, 2007
NPI Deactivation Date August 02, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Peterson, MD was a registered General Practice practicing in Omaha, NE. Throughout an active medical career spanning 16 years, Dr. Peterson provided care at the practice location at 6025 COUNTRY CLUB OAKS PLACE until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

6025 Country Club Oaks Place

Omaha, NE 681522009

Telephone 4025717182

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.5 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Omaha, NE (56 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 NE 10370

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

7 Historical Events
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NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

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 6025 COUNTRY CLUB OAKS PLACE, OMAHA, NE 681522009 (Tel: 4025717182)

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Updated Business Mailing Address July 08, 2007

Registered at 6025 COUNTRY CLUB OAKS PLACE, OMAHA, NE 681522009 (Tel: 4025717182)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RONALD PETERSON, MD

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

General Practice (License #10370 in NE)

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Initial NPI Registration & Enumeration June 05, 2007

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: 1639371099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2007
Last Update: July 08, 2007
Deactivation Date: August 02, 2023

Mailing Address

6025 Country Club Oaks Place

Omaha, NE 681522009

Phone: 4025717182

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.