Dr. John M. Peterson , MD
Pediatrics • Roseburg, OR
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.
Professional Overview & Biography Verified Profile Summary
Dr. John Peterson, MD was a registered Pediatrics practicing in Roseburg, OR. Throughout an active medical career spanning 18 years, Dr. Peterson provided care at the practice location at 150 KENNETH FORD DRIVE until profile deactivation on 2024-02-21.
Practice Location & Contact Primary Location
150 Kenneth Ford Drive
Roseburg, OR 974701042
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Roseburg, OR
Practicing in Roseburg, OR (880 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Dentist - Dental Public Health
Doctor of Dental Surgery
Family Medicine
Doctor of Medicine (M.D.)
Dentist
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Surgery
Community Health Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 21, 2024
NPI status registered as active in NPPES database
Registered at 150 KENNETH FORD DRIVE, ROSEBURG, OR 974701042 (Tel: 5416729596)
Registered at 150 KENNETH FORD DRIVE, ROSEBURG, OR 974701042 (Tel: 5416729596)
Recorded as JOHN PETERSON, M.D.
Pediatrics (License #MD00018578 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
150 Kenneth Ford Drive
Roseburg, OR 974701042
Phone: 5416729596
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