DR. MARK PETERSON M.D.
NPI 1467519793
Pediatrics in Southington, CT

Q: What is Mark Peterson's NPI number?

The NPI number for Mark Peterson is 1467519793. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Mark Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 03, 2007

143 N MAIN ST, SOUTHINGTON, CT 06489(860) 621-6764(860) 621-2640 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mark Peterson M.d. NPPES

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

DR. MARK PETERSON M.D. (NPI 1467519793) is an individual pediatrics provider in Southington, Connecticut, licensed in Connecticut (22224) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1467519793

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. MARK PETERSONCredential: M.D.

Location Address143 N MAIN STSouthington, CT 06489-2513

Mailing Address143 N Main StSouthington, CT 06489-2513 · (860) 621-6764 · Fax (860) 621-2640

Phone(860) 621-6764

Fax(860) 621-2640

Sole ProprietorYes

Enumeration DateJanuary 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467519793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CT · 22224

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

143 N MAIN ST, Southington, CT 06489

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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 Mark Peterson's NPI number?

The NPI number for Mark Peterson is 1467519793. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Mark Peterson located?

Mark Peterson practices at 143 N Main St, Southington, CT 06489. The listed phone number is (860) 621-6764.

What is Mark Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mark Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.