DR. RICHARD ALVIN PETERSON M.D.
NPI 1699717561
Psychiatry & Neurology - Neurology in Saint Paul, MN

Q: What is Richard Peterson's NPI number?

The NPI number for Richard Peterson is 1699717561. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Richard Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Richard Peterson was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 12, 2006

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3448(763) 302-4081 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Richard Alvin Peterson M.d. NPPES

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

DR. RICHARD ALVIN PETERSON M.D. (NPI 1699717561) is an individual neurology provider in Saint Paul, Minnesota, licensed in Minnesota (47556) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1699717561

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. RICHARD ALVIN PETERSONCredential: M.D.

Location Address640 JACKSON STSaint Paul, MN 55101-2502

Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516

Phone(651) 254-3448

Fax(763) 302-4081

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateFebruary 24, 2021

NPPES CertifiedFebruary 24, 2021

✔ NPI 1699717561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MN · 47556

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

640 JACKSON ST, Saint Paul, MN 55101

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Other Identifiers 9

Other1043493MN · Preferred One

Medicaid34640200WI

Other132846C029MN · Ucare

OtherHP51315MN · Healthpartners

Medicaid236934600MN

Other01N64PEMN · Bcbs Of Mn

Other0500505MN · Medica

Other2350907MN · Aamerica's Ppo

OtherP00225563MN · Railroad Medicare

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.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine