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TIMOTHY D PETERSON, MD PC
NPI 1073818555
Clinic/Center - Urgent Care in Taos Ski Valley, NM

Active since January 14, 2011CLIA 32D2020994 · Waiver
5 FIREHOUSE RD, TAOS SKI VALLEY, NM 87525(575) 776-8421(575) 776-8942 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Aug 14, 2024, Dec 22, 2021 (3 updates tracked since 2021).

About Timothy D Peterson, Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY D PETERSON, MD PC (NPI 1073818555), doing business as Mogul Medical Urgent Care, is a healthcare organization registered as an urgent care in Taos Ski Valley, New Mexico and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Linda C Lynch, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1073818555
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameTIMOTHY D PETERSON, MD PC
Location Address5 FIREHOUSE RDTaos Ski Valley, NM 87525
Mailing AddressPo Box 67Taos Ski Valley, NM 87525-0067 · (575) 776-8421 · Fax (575) 776-8942
Phone(575) 776-8421
Fax(575) 776-8942
Organization SubpartNo
Authorized OfficialLinda C LynchClinical Director · (575) 776-8421
Enumeration DateJanuary 14, 2011
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1073818555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
5 FIREHOUSE RD, Taos Ski Valley, NM 87525
Open in Google Maps ↗

Other Names 1

Doing Business AsMogul Medical Urgent Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2020994

Timothy D Peterson Mdpc Dba Mogul Med Uc · Taos Ski Valley, NM
Active · expires Mar 2, 2027
CLIA Number32D2020994
Laboratory TypeUrgent
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorDr. Linda C. Lynch
Laboratory Phone(575) 776-8421
Laboratory LocationTimothy D Peterson Mdpc Dba Mogul Med Uc5 Firehouse Road, Taos Ski Valley, NM 87525
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy D Peterson, MD PC's NPI number?

The NPI number for Timothy D Peterson, MD PC is 1073818555. It was assigned to this organization in the NPPES registry on January 14, 2011. The provider is doing business as Mogul Medical Urgent Care.

Where is Timothy D Peterson, MD PC located?

Timothy D Peterson, MD PC is located at 5 Firehouse Rd, Taos Ski Valley, NM 87525. The listed phone number is (575) 776-8421.

What is Timothy D Peterson, MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Timothy D Peterson, MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2020994) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timothy D Peterson, MD PC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.