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JOLYON DAVID PETERSON MD
NPI 1093773160
Family Medicine in Tacoma, WA

Active since May 01, 2006
1501 PACIFIC AVE, TACOMA, WA 98402(253) 680-6016 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jolyon David Peterson Md NPPES

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

JOLYON DAVID PETERSON MD (NPI 1093773160) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (MD00012819) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1093773160
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOLYON DAVID PETERSONCredential: MD
Location Address1501 PACIFIC AVETacoma, WA 98402-3302
Mailing Address1501 Pacific AveTacoma, WA 98402-3302 · (253) 680-6016
Phone(253) 680-6016
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateMarch 17, 2015
✔ NPI 1093773160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00012819
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 12819 (WA), MD00012819 (WA)
1501 PACIFIC AVE, Tacoma, WA 98402
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Other Names 1

Other Name (5)J. David Peterson

Other Identifiers 2

Medicare UPINA05363WA
Medicaid8288003WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH BAILEY PA-C
Physician Assistant (Medical)
1501 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 680-6000
ADAM L CLARNO
Nurse Practitioner
1501 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 680-6016
JESTYN M CUMMINGS ARNP
Nurse Practitioner
1501 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 680-6018
ROBERT E. STUART M.D.
Family Medicine
1501 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 680-6016
NGOC-TAM THI PHAM ARNP
Nurse Practitioner (Family)
1501 PACIFIC AVE
TACOMA, WA 98402
Pierce County (206) 235-2298
RICHARD JOHN DEALY ARNP
Nurse Practitioner
1501 PACIFIC AVE, STE 210
TACOMA, WA 98402
Pierce County (253) 680-6000
KARIN ELIZABETH PEARSON ARNP
Nurse Practitioner (Family)
1501 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 680-6000
LYNNE S SOLBERG ARNP
Nurse Practitioner (Family)
1501 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 680-6016

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 Jolyon Peterson's NPI number?

The NPI number for Jolyon Peterson is 1093773160. It was assigned to this individual provider in the NPPES registry on May 1, 2006. The provider is also known as J. David Peterson.

Where is Jolyon Peterson located?

Jolyon Peterson practices at 1501 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 680-6016.

What is Jolyon Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Jolyon Peterson accept?

Health plans from Providence Health Plan list Jolyon Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jolyon Peterson was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.