David Petersen, MD
NPI 1619050424 · Family Medicine Physician · Lewiston, ID
David Petersen, MD is a Family Medicine Physician provider in Lewiston, ID (NPI 1619050424).
Provider details
- NPI number
- 1619050424
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M4779 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2016-01-18
Frequently asked questions
- What is David Petersen's NPI number?
- David Petersen's National Provider Identifier (NPI) is 1619050424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Petersen's specialty?
- David Petersen is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is David Petersen located?
- David Petersen's practice location on file with NPPES is 2315 8th St, Lewiston, ID 83501-7301.
- What is David Petersen's phone number?
- The practice phone number listed in the NPPES registry for David Petersen is (208) 746-1383.
- Is David Petersen's NPI active?
- Yes — David Petersen's NPI (1619050424) is active in the NPPES registry as of the last update on 2016-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.