JOSEPH R. PETERSEN, M.D.
NPI 1154744407
Durable Medical Equipment & Medical Supplies in Burley, ID

NPI Status: Active since January 22, 2014

Contact Information

1344 HILAND AVE
SUITE A
BURLEY, ID
ZIP 83318
Phone: (208) 678-1138
Fax: (208) 678-5833

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About JOSEPH R. PETERSEN, M.D.

This page provides the complete NPI Profile along with additional information for Joseph R. Petersen, M.d., a provider established in Burley, Idaho operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1154744407 assigned on January 2014. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Joseph R Petersen (Md/owner)

NPI
1154744407
Provider Name
JOSEPH R. PETERSEN, M.D.
Entity Type
Organization
Location Address
1344 HILAND AVE SUITE A BURLEY, ID 83318
Location Phone
(208) 678-1138
Location Fax
(208) 678-5833
Mailing Address
PO BOX 1263 BURLEY, ID 83318
Mailing Phone
(208) 678-1138
Mailing Fax
(208) 678-5833
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2014
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
ID
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOSEPH R PETERSEN

Authorized Official Title
MD/OWNER
Authorized Official Phone
(208) 678-1138

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1225105604MEDICAID (05)ID 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154744407, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 4 + 4 + 8 + 4 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1154744407.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1344 HILAND AVE
BURLEY, ID 83318
Clinic/Center (Ambulatory Surgical)
1344 HILAND AVE, SUITE E
BURLEY, ID 83318
Dermatology
1344 HILAND AVE
BURLEY, ID 83318

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154744407, enumerated as an "organization" on January 22, 2014.

The provider is located at 1344 HILAND AVE SUITE A BURLEY, ID 83318 and the phone number is (208) 678-1138.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.