Phillip Petersen, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: June 14, 2005

Quick Facts

NPI Number
1295730661
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(208) 476-4555
StateID

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1295730661)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 14, 2005)
Data source: CMS NPPES

Provider Overview

PHILLIP PETERSEN, MD is a Family Medicine provider based in Orofino, ID who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1295730661
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateJune 14, 2005

Practice Location

CityOrofino
StateID
ZIP Code83544-9029
Phone(208) 476-4555

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateID

Mailing Address

CityOrofino
StateID
ZIP Code83544-9029
Phone(208) 476-4555
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1295730661 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1295730661for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1295730661 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

Browse all Family Medicineproviders →
📊
199,317
Family Medicine Providers in the US

Similar Providers in Orofino

Peter Crecelius, MD

📍 Orofino, ID 83544-9029

Kelly Mcgrath, MD

📍 Orofino, ID 83544-9029

Charity Robinson

📍 Orofino, ID 83544-9029

Brett Mumford, D.O

📍 Orofino, ID 83544-9029

Vanessa Brown, M.D

📍 Orofino, ID 83544-9029

Clayton Bunt, MD

📍 Orofino, ID 83544-9029

Other Healthcare Providers in Orofino

Dennis Harper, D.C

Chiropractic

Paul Smith, MD

General Surgery

Glenwood Pharmacy, Inc

Specialty not listed

Rick Lundgren, O.D

Optometry

Adam Dayley, O.D

Optometry

Alison Thomas, PT

Physical Therapy

Other Family Medicine Providers in Idaho

Haley Minnehan, MD

NPI: 1316940232📍 Cottonwood

Jeffrey Edwards, MD

NPI: 1578566253📍 Boise

Alvin Secrest, MD

NPI: 1053314864📍 Cottonwood

Andrew Jones, DO

NPI: 1740283555📍 Cottonwood

Layne Roberts, D.O

NPI: 1902809205📍 Mountain Home

Christine Schaller, MD

NPI: 1063415404📍 Lewiston
View all Family Medicine providers in Idaho→

People Also Ask

What is Phillip Petersen's NPI number?
Phillip Petersen's NPI number is 1295730661, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Phillip Petersen's NPI currently active?
Yes, Phillip Petersen's NPI status is Active as of the latest CMS NPPES database updates.
What does Phillip Petersen specialize in?
Phillip Petersen specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Phillip Petersen practice?
Phillip Petersen practices in Orofino, ID 83544-9029.
When was Phillip Petersen's NPI issued?
Phillip Petersen's NPI was issued on June 14, 2005.
What is Phillip Petersen's provider type?
Phillip Petersen is registered as an Individual Provider under CMS NPI Type 1.