RANDOLPH E PETERSON MD
NPI 1669461364
Orthopaedic Surgery in Ontario, OR

NPI Status: Active since October 17, 2005

Contact Information

840 SW 4TH AVE
ONTARIO, OR
ZIP 97914
Phone: (541) 889-2899
Fax: (541) 889-2883

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  • Individual
  • Male
  • Orthopaedic Surgery

About RANDOLPH PETERSON

This page provides the complete NPI Profile along with additional information for Randolph Peterson, a provider established in Ontario, Oregon with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1669461364 assigned on October 2005. The practitioner's primary taxonomy code is 207X00000X with license number 19969 (OR). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1669461364
Provider Name
RANDOLPH E PETERSON MD
Gender
Male
Entity Type
Individual
Location Address
840 SW 4TH AVE ONTARIO, OR 97914
Location Phone
(541) 889-2899
Location Fax
(541) 889-2883
Mailing Address
PO BOX 1460 ONTARIO, OR 97914
Mailing Phone
(541) 889-2899
Mailing Fax
(541) 889-2883
Is Sole Proprietor?
Yes
Enumeration Date
10-17-2005
Last Update Date
07-08-2007
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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

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
19969
License State
OR
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
838281001OTHER (01)ORBCBS OF OR
003426400OTHER (01)IDIDAHO MEDICAID EDS
135827MEDICAID (05)OR 
G31149MEDICARE UPIN (02) 
119509MEDICARE ID-TYPE UNSPECIFIED (04)OR 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669461364, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 8 + 6 + 2 + 3 + 1 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1669461364.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Orthopaedic Surgery
840 SW 4TH AVE
ONTARIO, OR 97914
Speech-Language Pathologist
840 SW 4TH AVE
ONTARIO, OR 97914
Speech-Language Pathologist
840 SW 4TH AVE
ONTARIO, OR 97914
Specialist/Technologist (Athletic Trainer)
840 SW 4TH AVE
ONTARIO, OR 97914
Physical Therapist
840 SW 4TH AVE
ONTARIO, OR 97914
Physician Assistant (Medical)
840 SW 4TH AVE
ONTARIO, OR 97914
Speech-Language Pathologist
840 SW 4TH AVE
ONTARIO, OR 97914
Physician Assistant
840 SW 4TH AVE
ONTARIO, OR 97914
Community Health Worker
840 SW 4TH AVE
ONTARIO, OR 97914
Community Health Worker
840 SW 4TH AVE
ONTARIO, OR 97914
Obstetrics & Gynecology
840 SW 4TH AVE
ONTARIO, OR 97914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669461364, enumerated as an "individual" on October 17, 2005.

The provider is located at 840 SW 4TH AVE ONTARIO, OR 97914 and the phone number is (541) 889-2899.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.