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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEROME R PETERSON MD
NPI 1336114966
Emergency Medicine in Woodbury, MN

Active since February 17, 2006
8450 SEASONS PKWY, WOODBURY, MN 55125(612) 339-3663(651) 702-5305 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerome R Peterson Md NPPES

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

JEROME R PETERSON MD (NPI 1336114966) is an individual emergency medicine provider in Woodbury, Minnesota, licensed in Minnesota (19789) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1336114966
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJEROME R PETERSONCredential: MD
Location Address8450 SEASONS PKWYWoodbury, MN 55125-4402
Mailing Address8100 34th Ave S, Mail Stop 33100aBloomington, MN 55425-1672 · (952) 883-5463 · Fax (952) 883-5395
Phone(612) 339-3663
Fax(651) 702-5305
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1336114966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MN · 19789
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
8450 SEASONS PKWY, Woodbury, MN 55125
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Other Providers at the Same Location NPPES 20

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

DR. BRIDGETTE MARIE SURI MD
Pediatrics
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
ALICIA MARIE OSTERMAN KEMP M.D.
Pediatrics
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
DALE J MEYER MD
Internal Medicine
8450 SEASONS PKWY, MAIL STOP 32900A
WOODBURY, MN 55125
Washington County (651) 702-5300
CHELSEY PRALL DO
Pediatrics
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
KATELYN ELIZABETH KLIMSTRA M.D.
Obstetrics & Gynecology
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
ROBIN SHULTZ PA-C
Physician Assistant
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (952) 853-8800
RUBY LEIGH RUSSELL
Obstetrics & Gynecology
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
MARLEN MIDTHUNE
Family Medicine
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (952) 967-7975

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 Jerome Peterson's NPI number?

The NPI number for Jerome Peterson is 1336114966. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Jerome Peterson located?

Jerome Peterson practices at 8450 Seasons Pkwy, Woodbury, MN 55125. The listed phone number is (612) 339-3663.

What is Jerome Peterson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Jerome Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.