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RALPH G PETERSON PA
NPI 1770511008
Physician Assistant - Surgical in Eugene, OR

Active since June 28, 2006PECOS Enrolled
1410 OAK ST, SUITE 200, EUGENE, OR 97401(541) 485-2357(541) 485-2358 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ralph G Peterson Pa NPPES

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

RALPH G PETERSON PA (NPI 1770511008) is an individual surgical provider in Eugene, Oregon, licensed in Oregon (PA00258) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770511008
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameRALPH G PETERSONCredential: PA
Location Address1410 OAK ST, SUITE 200Eugene, OR 97401-4604
Mailing Address1410 Oak St, Suite 200Eugene, OR 97401-4604 · (541) 485-2357 · Fax (541) 485-2358
Phone(541) 485-2357
Fax(541) 485-2358
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 12, 2013
✔ NPI 1770511008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA00258
1410 OAK ST, Eugene, OR 97401
Open in Google Maps ↗

Other Identifiers 3

Medicare PINR130332OR
Medicare UPINS36186
Medicare PINRR PTAN P00227440OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ralph G Peterson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVANTE, LLC
Surgery (Surgical Oncology)
1410 OAK ST, STE 101
EUGENE, OR 97401
Lane County (541) 228-3265
DR. GLENN L KEIPER JR. MD
Neurological Surgery
1410 OAK ST, SUITE 200
EUGENE, OR 97401
Lane County (541) 485-2357
VALERIE JACKSON CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1410 OAK ST, STE 100B
EUGENE, OR 97401
Lane County (541) 636-7744
ANDREA L. HALLIDAY, M.D., P.C.
Clinic/Center (Health Service)
1410 OAK ST
EUGENE, OR 97401
Lane County (541) 485-2357
PROHEALTH FAMILY MEDICINE
Family Medicine
1410 OAK ST, SUITE 102
EUGENE, OR 97401
Lane County (541) 228-3270
ALLEGIANCE MEDICAL, CORP
Durable Medical Equipment & Medical Supplies
1410 OAK ST, ATTN: KURTIS M. DOERR ALLEGIANCE MEDICAL, LLC
EUGENE, OR 97401
Lane County (541) 603-6205
HALE MEN'S CLINIC, LLC
Clinic/Center (Health Service)
1410 OAK ST, SUITE 101
EUGENE, OR 97401
Lane County (541) 228-3660
NORTHWEST NEURO NERVE MONITORING
Specialist/Technologist, Other (Electroneurodiagnostic)
1410 OAK ST, STE 100B
EUGENE, OR 97401
Lane County (541) 636-7744

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 Ralph Peterson's NPI number?

The NPI number for Ralph Peterson is 1770511008. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Ralph Peterson located?

Ralph Peterson practices at 1410 Oak St Suite 200, Eugene, OR 97401. The listed phone number is (541) 485-2357.

What is Ralph Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ralph Peterson enrolled in Medicare?

Yes. Ralph Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ralph Peterson was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.