OrganizationActive
Joseph R. Petersen, M.D.
NPI 1790956514 · Specialist · Burley, ID
Joseph R. Petersen, M.D. is a Specialist organization in Burley, ID (NPI 1790956514).
Provider details
- NPI number
- 1790956514
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Joseph Petersen, Physician/Owner(208) 678-1138
- License
- M5283 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
1344 Hiland Ave Ste a
Burley, ID 83318-1564
Other names (DBA / former)
- Doing business as
- Orthopedic Surgery Center
Registry dates
- Enumerated
- 2008-03-19
- Last updated
- 2008-03-19
Frequently asked questions
- What is Joseph R. Petersen, M.D.'s NPI number?
- Joseph R. Petersen, M.D.'s National Provider Identifier (NPI) is 1790956514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Joseph R. Petersen, M.D.?
- Joseph R. Petersen, M.D. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Joseph R. Petersen, M.D. located?
- Joseph R. Petersen, M.D.'s practice location on file with NPPES is 1344 Hiland Ave Ste a, Burley, ID 83318-1564.
- What is Joseph R. Petersen, M.D.'s phone number?
- The practice phone number listed in the NPPES registry for Joseph R. Petersen, M.D. is (208) 678-1138.
- Who is the authorized official for Joseph R. Petersen, M.D.?
- The authorized official listed on Joseph R. Petersen, M.D.'s NPPES record is Joseph Petersen, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Joseph R. Petersen, M.D.'s NPI active?
- Yes — Joseph R. Petersen, M.D.'s NPI (1790956514) is active in the NPPES registry as of the last update on 2008-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.