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

Q: What is the provider's specialty?

The provider's specialty is Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

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: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Orthopaedic Surgery
Sports Medicine
Accepts Insurance

About DOUGLAS E. PETERSON, LLC

This page provides the complete NPI Profile along with additional information for Douglas E. Peterson, Llc, a provider established in Danvers, Massachusetts operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1336491612 assigned on October 2012. The practitioner's primary taxonomy code is 207XX0005X with license number 153208 (MA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Douglas Edward Peterson D.o. (Orthopedic Surgeon)

NPI: 1336491612 Verify this NPI
Provider Name: DOUGLAS E. PETERSON, LLC
Entity Type: Organization
Location Address: 4 STATE RD DANVERS, MA 01923
Location Phone: (978) 774-3400
Location Fax: (978) 774-5883
Mailing Address: 4 STATE RD DANVERS, MA 01923
Mailing Phone: (978) 774-3400
Mailing Fax: (978) 774-5883
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-10-2012
Last Update Date: 12-14-2021
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Location Map

Secondary Locations

100 Highland Ave Ste 101
Salem, MA 01970
(978) 745-0820

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: Orthopaedic Surgery Sports Medicine
Taxonomy Code: 207XX0005X
Type: Allopathic & Osteopathic Physicians
License No.: 153208
License State: MA
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

Anthem Blue Cross and Blue Shield

Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. DOUGLAS EDWARD PETERSON D.O.
Authorized Official Title: ORTHOPEDIC SURGEON
Authorized Official Phone: (978) 774-3400