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

Active since January 22, 2014
1344 HILAND AVE, SUITE A, BURLEY, ID 83318(208) 678-1138(208) 678-5833 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph R. Petersen, M.d. NPPES

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

JOSEPH R. PETERSEN, M.D. (NPI 1154744407) is a healthcare organization registered as a durable medical equipment & medical supplies in Burley, Idaho and active in the NPI registry since January 2014. The organization lists Joseph R Petersen, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1154744407
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJOSEPH R. PETERSEN, M.D.
Location Address1344 HILAND AVE, SUITE ABurley, ID 83318-1564
Mailing AddressPo Box 1263Burley, ID 83318-0859 · (208) 678-1138 · Fax (208) 678-5833
Phone(208) 678-1138
Fax(208) 678-5833
Organization SubpartNo
Authorized OfficialJoseph R PetersenMd/owner · (208) 678-1138
Enumeration DateJanuary 22, 2014
Last NPPES UpdateJuly 21, 2022
✔ NPI 1154744407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
1344 HILAND AVE, Burley, ID 83318
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Other Identifiers 1

Medicaid1225105604ID

Other Providers at the Same Location NPPES 3

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

F. B. FITTS JR., M.D. PC
Radiology (Diagnostic Radiology)
1344 HILAND AVE
BURLEY, ID 83318
Cassia County (208) 678-1138
STODDARD & BINGHAM MEDICAL PLLC
Dermatology
1344 HILAND AVE
BURLEY, ID 83318
Cassia County (208) 238-7546
AMBULATORY SURGERY CENTER OF BURLEY, LLC
Clinic/Center (Ambulatory Surgical)
1344 HILAND AVE, SUITE E
BURLEY, ID 83318
Cassia County (208) 677-8888

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 Joseph R. Petersen, M.D.'s NPI number?

The NPI number for Joseph R. Petersen, M.D. is 1154744407. It was assigned to this organization in the NPPES registry on January 22, 2014.

Where is Joseph R. Petersen, M.D. located?

Joseph R. Petersen, M.D. is located at 1344 Hiland Ave Suite A, Burley, ID 83318. The listed phone number is (208) 678-1138.

What is Joseph R. Petersen, M.D.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Joseph R. Petersen, M.D. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.