What is Jack Peterson's NPI number?

Jack Peterson's National Provider Identifier (NPI) is 1700019619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Peterson's specialty?

Jack Peterson is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Jack Peterson located?

Jack Peterson's practice location on file with NPPES is 613 Carmenere Dr, Kenner, LA 70065-1107.

What is Jack Peterson's phone number?

The practice phone number listed in the NPPES registry for Jack Peterson is (504) 466-4575.

Is Jack Peterson's NPI active?

Yes — Jack Peterson's NPI (1700019619) is active in the NPPES registry as of the last update on 2009-08-25.

IndividualActive

Jack Peterson, M. D.

NPI 1700019619 · Internal Medicine Physician · Kenner, LA

Jack Peterson, M. D. is a Internal Medicine Physician provider in Kenner, LA (NPI 1700019619).

Provider details

NPI number: 1700019619
Entity type: Individual
Primary specialty: Internal Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M. D.
Sex: Male
Sole proprietor: Yes
License: MD011350 (LA)

Specialties & taxonomies

Internal Medicine PhysicianPrimary207R00000XLicense MD011350 (LA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(85/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 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

613 Carmenere Dr

Kenner, LA 70065-1107

Phone: (504) 466-4575

Street-level locationGet directions

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Mailing address