OrganizationActive
David S. Petersen, M.d.s.c.
NPI 1982900825 · Urology Physician · Moline, IL
Provider details
- NPI number
- 1982900825
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Petersen, President(309) 764-9790
- License
- 036-055984 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2121 1st Street a
Moline, IL 61265-7745
Phone: (309) 764-9790
Fax: (309) 764-9632
Street-level locationGet directions
Mailing address
2121 1st Street a
Moline, IL 61265-7745
Registry dates
- Enumerated
- 2011-02-09
- Last updated
- 2011-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.