What is Joseph Petersen's NPI number?

Joseph Petersen's National Provider Identifier (NPI) is 1225105604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Joseph Petersen's specialty?

Joseph Petersen is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Joseph Petersen located?

Joseph Petersen's practice location on file with NPPES is 1344 Hiland Ave Ste a, Burley, ID 83318-1564.

What is Joseph Petersen's phone number?

The practice phone number listed in the NPPES registry for Joseph Petersen is (208) 678-1138.

Is Joseph Petersen's NPI active?

Yes — Joseph Petersen's NPI (1225105604) is active in the NPPES registry as of the last update on 2007-07-09.

IndividualActive

Joseph Petersen

NPI 1225105604 · Specialist · Burley, ID

Joseph Petersen is a Specialist provider in Burley, ID (NPI 1225105604).

Provider details

NPI number: 1225105604
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes
License: M5283 (ID)

Specialties & taxonomies

SpecialistPrimary174400000XLicense M5283 (ID)
Other Service Providers

Profile Score

Detailed profile(90/100 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

1344 Hiland Ave Ste a

Burley, ID 83318-1564

Phone: (208) 678-1138

Fax: (208) 678-5833

Street-level locationGet directions

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Mailing address