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MR. JAY WILLIAM PETERSON PA-C
NPI 1558320853
Physician Assistant in Brighton, MI

Active since March 23, 2006
2305 GENOA BUSINESS PARK DR, SUITE 170, BRIGHTON, MI 48114(810) 299-8550(810) 844-0837 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jay William Peterson Pa-c NPPES

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

MR. JAY WILLIAM PETERSON PA-C (NPI 1558320853) is an individual physician assistant in Brighton, Michigan, licensed in Michigan (JP004176) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1558320853
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JAY WILLIAM PETERSONCredential: PA-C
Location Address2305 GENOA BUSINESS PARK DR, SUITE 170Brighton, MI 48114-7367
Mailing Address2305 Genoa Business Park Dr, Suite 170Brighton, MI 48114-7367 · (810) 299-8550 · Fax (810) 844-0837
Phone(810) 299-8550
Fax(810) 844-0837
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 7, 2011
✔ NPI 1558320853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · JP004176
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2305 GENOA BUSINESS PARK DR, Brighton, MI 48114
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Other Identifiers 4

Medicare UPINQ08121MI
OtherJP004176MI · Mi License #
Other0D71023MI · Bcbsm
Medicare ID-Type Unspecified0N85350MI

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. REBECCA PAWLIK M.D.
Family Medicine
2305 GENOA BUSINESS PARK DR, SUITE 200
BRIGHTON, MI 48114
Livingston County (810) 494-6840
ANTHONY BOZAAN III MD
Surgery
2305 GENOA BUSINESS PARK DR, STE 230
BRIGHTON, MI 48114
Livingston County (810) 494-6881
DR. LAITH ANASTAS FARJO M.D.
Orthopaedic Surgery
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Livingston County (810) 299-8550
CHRISTOPHER KOTTKE M.D.
Pediatrics
2305 GENOA BUSINESS PARK DR, SUITE 240
BRIGHTON, MI 48114
Livingston County (810) 494-6820
ADVANCED ORTHOPEDIC SPECIALISTS PC
Non-Pharmacy Dispensing Site
2305 GENOA BUSINESS PARK DR, STE 170
BRIGHTON, MI 48114
Livingston County (810) 299-8550
MS. NICOLE MARIE CLEMENT DPT
Physical Therapist (Orthopedic)
2305 GENOA BUSINESS PARK DR, SUITE 170
BRIGHTON, MI 48114
Livingston County (810) 299-8550
DR. MARY KHUNGER M.D.
Pediatrics
2305 GENOA BUSINESS PARK DR, SUITE 240
BRIGHTON, MI 48114
Livingston County (810) 494-6820
BETHANY HALL M.D.
Pediatrics
2305 GENOA BUSINESS PARK DR, SUITE 240
BRIGHTON, MI 48114
Livingston County (810) 494-6820

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 Jay Peterson's NPI number?

The NPI number for Jay Peterson is 1558320853. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Jay Peterson located?

Jay Peterson practices at 2305 Genoa Business Park Dr Suite 170, Brighton, MI 48114. The listed phone number is (810) 299-8550.

What is Jay Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jay Peterson was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.