DOUGLAS E. PETERSON, LLC
NPI 1336491612
Orthopaedic Surgery - Sports Medicine in Danvers, MA

Q: What is Douglas E. Peterson, LLC's NPI number?

The NPI number for Douglas E. Peterson, LLC is 1336491612. It was assigned to this organization in the NPPES registry on October 10, 2012.

Q: What is Douglas E. Peterson, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since October 10, 2012

4 STATE RD, DANVERS, MA 01923(978) 774-3400(978) 774-5883 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Douglas E. Peterson, Llc NPPES

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

DOUGLAS E. PETERSON, LLC (NPI 1336491612) is a healthcare organization registered as a sports medicine in Danvers, Massachusetts and active in the NPI registry since October 2012. The organization maintains a secondary practice location in Salem and lists Douglas Edward Peterson, Orthopedic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1336491612

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameDOUGLAS E. PETERSON, LLC

Location Address4 STATE RDDanvers, MA 01923-2567

Mailing Address4 State RdDanvers, MA 01923-2567 · (978) 774-3400 · Fax (978) 774-5883

Phone(978) 774-3400

Fax(978) 774-5883

Organization SubpartNo

Authorized OfficialDouglas Edward PetersonOrthopedic Surgeon · (978) 774-3400

Enumeration DateOctober 10, 2012

Last NPPES UpdateDecember 14, 2021

NPPES CertifiedDecember 14, 2021

✔ NPI 1336491612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in MA · 153208

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

4 STATE RD, Danvers, MA 01923

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Secondary Practice Location 1

Location 1100 Highland Ave Ste 101Salem, MA 01970-2702 · Phone (978) 745-0820 · Fax (978) 774-5883

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 11

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

JOHN J BOYLE MD

Orthopaedic Surgery

4 STATE RD
DANVERS, MA 01923

Essex County (978) 774-3400

PETERSON SPORTS THERAPY LLC

Physical Therapist

4 STATE RD
DANVERS, MA 01923

Essex County (978) 774-3400

MICHAEL JOSEPH LOVETT PT

Physical Therapist

4 STATE RD
DANVERS, MA 01923

Essex County (978) 777-3220

DOUGLAS PETERSON LLC

Orthopaedic Surgery

4 STATE RD
DANVERS, MA 01923

Essex County (978) 774-3400

PETERSON ORTHOPEDICS LLC

Orthopaedic Surgery

4 STATE RD
DANVERS, MA 01923

Essex County (978) 774-3400

DR. DOUGLAS EDWARD PETERSON DO

Orthopaedic Surgery

4 STATE RD
DANVERS, MA 01923

Essex County (978) 774-3400

RAFAEL KAKAZU M.D.

Orthopaedic Surgery

4 STATE RD
DANVERS, MA 01923

Essex County (978) 774-3400

WILLIAM MURZIC, M.D., PLLC

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

4 STATE RD
DANVERS, MA 01923

Essex County (978) 774-3400

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 Douglas E. Peterson, LLC's NPI number?

The NPI number for Douglas E. Peterson, LLC is 1336491612. It was assigned to this organization in the NPPES registry on October 10, 2012.

Where is Douglas E. Peterson, LLC located?

Douglas E. Peterson, LLC is located at 4 State Rd, Danvers, MA 01923. The listed phone number is (978) 774-3400.

What is Douglas E. Peterson, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

What insurance does Douglas E. Peterson, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Douglas E. Peterson, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas E. Peterson, LLC was last updated on December 14, 2021. 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.