DR. JEFFRY RAYMOND PETERSON D.O.
NPI 1730169962
Family Medicine in Spencer, IA

Active since January 23, 2006
116 E 11TH ST, SUITE 101, SPENCER, IA 51301(712) 264-3500(712) 264-3535 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffry Raymond Peterson D.o. NPPES

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

DR. JEFFRY RAYMOND PETERSON D.O. (NPI 1730169962) is an individual family medicine provider in Spencer, Iowa, licensed in Iowa (01768) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1730169962
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFRY RAYMOND PETERSONCredential: D.O.
Location Address116 E 11TH ST, SUITE 101Spencer, IA 51301-4364
Mailing Address116 E 11th St, Suite 101Spencer, IA 51301-4364 · (712) 264-3500 · Fax (712) 264-3535
Fax(712) 264-3535
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateFebruary 10, 2014
NPI 1730169962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 01768
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
116 E 11TH ST, Spencer, IA 51301

Other Identifiers 3

Medicaid3196287IA
Medicare ID-Type UnspecifiedI5496IA
Medicare UPINA01703IA

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.

Nurse Practitioner (Family)
116 E 11TH ST, STE 101
SPENCER, IA 51301
Nurse Practitioner
116 E 11TH ST
SPENCER, IA 51301
Pathology (Anatomic Pathology & Clinical Pathology)
116 E 11TH ST, SUITE 204
SPENCER, IA 51301
Family Medicine
116 E 11TH ST, SUITE 101
SPENCER, IA 51301
Family Medicine
116 E 11TH ST, SUITE 101
SPENCER, IA 51301
Family Medicine
116 E 11TH ST, SUITE 101
SPENCER, IA 51301
Pharmacy (Community/Retail Pharmacy)
116 E 11TH ST
SPENCER, IA 51301
Family Medicine
116 E 11TH ST, SUITE 101
SPENCER, IA 51301

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 Jeffry Peterson's NPI number?

The NPI number for Jeffry Peterson is 1730169962. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Jeffry Peterson located?

Jeffry Peterson practices at 116 E 11th St Suite 101, Spencer, IA 51301. The listed phone number is (712) 264-3500.

What is Jeffry Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeffry Peterson was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.