OrganizationActive
Joseph R. Petersen, M.D.
NPI 1154744407 · Durable Medical Equipment & Medical Supplies · Burley, ID
Provider details
- NPI number
- 1154744407
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Joseph Petersen, Md/Owner(208) 678-1138
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1344 Hiland Ave
Suite a
Burley, ID 83318-1564
Phone: (208) 678-1138
Fax: (208) 678-5833
Street-level locationGet directions
Mailing address
Po Box 1263
Burley, ID 83318-0859
Registry dates
- Enumerated
- 2014-01-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.