DR. JOHN ANDREW PETERSON M.D.
NPI 1164495941
Family Medicine in Jacksonville, IL

NPI Status: Active since February 10, 2006

Contact Information

800 W STATE ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 243-9471
Fax: (217) 243-5359

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Family Medicine

About JOHN PETERSON

This page provides the complete NPI Profile along with additional information for John Peterson, a primary care provider established in Jacksonville, Illinois with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1164495941 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 036055264 (IL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI: 1164495941
Provider Name: DR. JOHN ANDREW PETERSON M.D.
Gender: Male
Entity Type: Individual
Location Address: 800 W STATE ST JACKSONVILLE, IL 62650
Location Phone: (217) 243-9471
Location Fax: (217) 243-5359
Mailing Address: 15 FOUNDERS LN STE 100 JACKSONVILLE, IL 62650
Mailing Phone: (217) 243-0300
Mailing Fax: (217) 243-5359
Is Sole Proprietor?: No
Enumeration Date: 02-10-2006
Last Update Date: 04-20-2017
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A primary care provider (PCP) like John Peterson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
License No.: 036055264
License State: IL
Taxonomy Description: 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.

Insurance Plans Accepted

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

Medicare

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

Medicaid

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.

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
L72271	MEDICARE ID-TYPE UNSPECIFIED (04)	IL
036055264	MEDICAID (05)	IL
D93384	MEDICARE UPIN (02)

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	6	4	4	9	5	9	4	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	12	4	8	9	10	9	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 8 + 9 + 1 + 0 + 9 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1164495941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.