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PETERSEN CLINIC, PLLC
NPI 1235169384
Internal Medicine in Oak Hill, WV

Active since July 04, 2006
119 MAIN ST W, SUITE A, OAK HILL, WV 25901(304) 465-0544(304) 465-8832 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Petersen Clinic, Pllc NPPES

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

PETERSEN CLINIC, PLLC (NPI 1235169384) is a healthcare organization registered as an internal medicine in Oak Hill, West Virginia and active in the NPI registry since July 2006. The organization lists Bruce N. Petersen, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1235169384
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePETERSEN CLINIC, PLLC
Location Address119 MAIN ST W, SUITE AOak Hill, WV 25901-2943
Mailing Address119 Main St W, Suite AOak Hill, WV 25901-2943 · (304) 465-0544 · Fax (304) 465-8832
Phone(304) 465-0544
Fax(304) 465-8832
Organization SubpartNo
Authorized OfficialBruce N. PetersenCo-owner · (304) 465-0544
Enumeration DateJuly 4, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1235169384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 941
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 942 (WV), 1864 (WV)
119 MAIN ST W, Oak Hill, WV 25901
Open in Google Maps ↗

Other Identifiers 1

Medicaid0084786001WV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. LORA HABIB KEAVENY DO
Family Medicine
119 MAIN ST W, SUITE A
OAK HILL, WV 25901
Fayette County (304) 465-0544
JODY MEREDITH MD
Pediatrics
119 MAIN ST W, SUITE A
OAK HILL, WV 25901
Fayette County (304) 465-0544
DR. BRUCE NORMAN PETERSEN DO
Internal Medicine
119 MAIN ST W, SUITE A
OAK HILL, WV 25901
Fayette County (304) 465-0544
DR. MILLIE WILLIAMS PETERSEN DO
Family Medicine
119 MAIN ST W, SUITE A
OAK HILL, WV 25901
Fayette County (304) 465-0544
HEATHER DAWN O'DELL FNP
Nurse Practitioner (Family)
119 MAIN ST W
OAK HILL, WV 25901
Fayette County (304) 647-6552

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 Petersen Clinic, PLLC's NPI number?

The NPI number for Petersen Clinic, PLLC is 1235169384. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Petersen Clinic, PLLC located?

Petersen Clinic, PLLC is located at 119 Main St W Suite A, Oak Hill, WV 25901. The listed phone number is (304) 465-0544.

What is Petersen Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Petersen Clinic, PLLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.