Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821180050 Individual Practitioner Male Practitioner

Dr. Gary D Peterson , MD

Pediatrics • Dickinson, ND

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Gary Peterson, MD is a registered healthcare professional specializing in Pediatrics in Dickinson, ND. Official NPI practice address is registered at 938 2ND AVE W.

Practice Location & Contact Primary Location

Practice Address

938 2nd Ave W

Dickinson, ND 586013916

Telephone 7014566000
Fax 7013235709
Associated Practice Facility / Clinic
🏢 Medcenter One Inc Facility NPI 1013071158

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dickinson, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.5 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Dickinson, ND (117 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 ND 7827

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
10421 (ND)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Yesenia Perez , MA CCC-SLP

Speech-Language Pathologist

NPI 1003425257

MACCCSLP

Dr. James Bossort , MD

Family Medicine

NPI 1003879545

Doctor of Medicine (M.D.)

Rodney Kraft , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003907841

Certified Registered Nurse Anesthetist

NPI 1013970532

Doctor of Medicine (M.D.)

Larissa Kohler , PA-C

Physician Assistant

NPI 1023370780

Physician Assistant (Certified)

Jamie Hawk , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033123351

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 11, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2007

Registered at 938 2ND AVE W, DICKINSON, ND 586013916 (Tel: 7014566000)

📍
Updated Business Mailing Address September 11, 2007

Registered at PO BOX 5501, BISMARCK, ND 585065501 (Tel: 7013236000)

👤
Provider Name / Credentials Updated September 11, 2007

Recorded as GARY PETERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2007

Pediatrics (License #7827 in ND)

🟢
Initial NPI Registration & Enumeration September 28, 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: 1821180050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: September 11, 2007
Sole Proprietor: No

Mailing Address

Po Box 5501

Bismarck, ND 585065501

Phone: 7013236000

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.