Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760490239 Individual Practitioner Male Practitioner

Dr. Mario Cesar Petersen , MD

Pediatrics - Developmental - Behavioral Pediatrics • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Dr. Mario Petersen, MD is a registered healthcare professional specializing in Pediatrics - Developmental - Behavioral Pediatrics in Eugene, OR. Practice services are available at 901 E 18TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

901 E 18th Ave

Eugene, OR 974031354

Telephone 5413463575
Fax 5413465844
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Developmental - Behavioral Pediatrics in Eugene, OR

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

Practicing in Eugene, OR (31 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

CMS Verified: 2023-08-30
Pediatrics - Developmental - Behavioral Pediatrics Primary Specialty

NUCC Taxonomy Code: 2080P0006X

State License OR MD26196

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OR MD26196

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.

Pediatrics - Developmental - Behavioral Pediatrics

NUCC Taxonomy Code: 2080P0006X

State License MI 4301116723

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Pediatrics - Neurodevelopmental Disabilities

NUCC Taxonomy Code: 2080P0008X

State License OR MD26196

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Pediatrics - Neurodevelopmental Disabilities

NUCC Taxonomy Code: 2080P0008X

State License MI 4301116723

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Secondary Practice Locations

35 Michigan St Ne Ste 3003

Grand Rapids, MI 495032528

Phone: 6162672009

Practice Associates & Co-Workers

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

25 Associated Practitioners
NPI 1013989243

Doctor of Philosophy (Ph.D.)

Amber Wright , CPNP

Nurse Practitioner - Pediatrics

NPI 1093038762

Certified Pediatric Nurse Practitioner

NPI 1093487696

Physical Therapist, Doctor of Physical Therapy

Dr. Robert Nickel , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1215963160

Doctor of Medicine (M.D.)

NPI 1225044720

Doctor of Philosophy (Ph.D.)

Jillian Harrison , MSOT, OTR, L

Occupational Therapist

NPI 1235789033

MSOT, Occupational Therapist Registered, L

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location August 30, 2023

Registered at 901 E 18TH AVE, EUGENE, OR 974031354 (Tel: 5413463575)

📍
Updated Business Mailing Address August 30, 2023

Registered at 901 E 18TH AVE, EUGENE, OR 974031354 (Tel: 5413463575)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2023

Pediatrics (License #MD26196 in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2021

Pediatrics (License #4301116723 in MI)

📍
Updated Practice Location May 31, 2019

Registered at 35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 495032528 (Tel: 6162672009)

📍
Updated Business Mailing Address May 31, 2019

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2019

Pediatrics (License #4301116723 in MI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 901 E 18TH AVE, EUGENE, OR 974031354 (Tel: 5413463575)

📍
Updated Business Mailing Address July 08, 2007

Registered at 25 PRALL LN, EUGENE, OR 974053335

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARIO PETERSEN, MD

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

Pediatrics (License #MD26196 in OR)

🟢
Initial NPI Registration & Enumeration August 03, 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: 1760490239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: August 30, 2023
Sole Proprietor: No

Mailing Address

901 E 18th Ave

Eugene, OR 974031354

Phone: 5413463575

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.