OrganizationActive
John P Petersen MD PA
NPI 1215151113 · Specialist · Vero Beach, FL
John P Petersen MD PA is a Specialist organization in Vero Beach, FL (NPI 1215151113).
Provider details
- NPI number
- 1215151113
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- John Petersen, Physician(772) 794-3333
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3555 10th Ct
Vero Beach, FL 32960-5013
Phone: (772) 794-3333
Fax: (772) 569-6949
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 100013
Atlanta, GA 30384-0013
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Frequently asked questions
- What is John P Petersen MD PA's NPI number?
- John P Petersen MD PA's National Provider Identifier (NPI) is 1215151113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John P Petersen MD PA?
- John P Petersen MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is John P Petersen MD PA located?
- John P Petersen MD PA's practice location on file with NPPES is 3555 10th Ct, Vero Beach, FL 32960-5013.
- What is John P Petersen MD PA's phone number?
- The practice phone number listed in the NPPES registry for John P Petersen MD PA is (772) 794-3333.
- Who is the authorized official for John P Petersen MD PA?
- The authorized official listed on John P Petersen MD PA's NPPES record is John Petersen, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John P Petersen MD PA's NPI active?
- Yes — John P Petersen MD PA's NPI (1215151113) is active in the NPPES registry as of the last update on 2020-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.