IndividualActive
Jerome Peterson, MD
NPI 1336114966 · Emergency Medicine Physician · Woodbury, MN
Jerome Peterson, MD is a Emergency Medicine Physician provider in Woodbury, MN (NPI 1336114966).
Provider details
- NPI number
- 1336114966
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 19789 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone: (612) 339-3663
Fax: (651) 702-5305
Street-level locationGet directions
Mailing address
8100 34th Ave S
Bloomington, MN 55425-1672
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerome Peterson's NPI number?
- Jerome Peterson's National Provider Identifier (NPI) is 1336114966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerome Peterson's specialty?
- Jerome Peterson is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jerome Peterson located?
- Jerome Peterson's practice location on file with NPPES is 8450 Seasons Pkwy, Woodbury, MN 55125-4402.
- What is Jerome Peterson's phone number?
- The practice phone number listed in the NPPES registry for Jerome Peterson is (612) 339-3663.
- Is Jerome Peterson's NPI active?
- Yes — Jerome Peterson's NPI (1336114966) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.