OrganizationActive
Eric E. Petterson P.C.
NPI 1518417690 · Addiction Medicine (Internal Medicine) Physician · Shenandoah, PA
Provider details
- NPI number
- 1518417690
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Petterson, President(570) 462-1040
- License
- MD039636L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1 S Main St
Shenandoah, PA 17976
Phone: (570) 861-0802
Fax: (570) 462-1040
Street-level locationGet directions
Mailing address
1 S Main St
Shenandoah, PA 17976-2332
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2023-11-11
- Certified
- 2023-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.