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ORTHOPEDIC SURGERY CENTER
NPI 1790956514
Specialist in Burley, ID

Active since March 19, 2008
1344 HILAND AVE STE A, BURLEY, ID 83318(208) 678-1138(208) 678-5833 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Orthopedic Surgery Center NPPES

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

ORTHOPEDIC SURGERY CENTER (NPI 1790956514) is a healthcare organization registered as a specialist in Burley, Idaho and active in the NPI registry since March 2008. The organization lists Joseph R Petersen, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1790956514
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJOSEPH R. PETERSEN, M.D.
Location Address1344 HILAND AVE STE ABurley, ID 83318-1564
Mailing Address1344 Hiland Ave Ste A, P. O. Box 1263Burley, ID 83318-1564 · (208) 678-1138 · Fax (208) 678-5833
Phone(208) 678-1138
Fax(208) 678-5833
Organization SubpartNo
Authorized OfficialJoseph R PetersenPhysician/owner · (208) 678-1138
Enumeration DateMarch 19, 2008
✔ NPI 1790956514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M5283
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1344 HILAND AVE STE A, Burley, ID 83318
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Other Names 1

Doing Business AsOrthopedic Surgery Center

Other Identifiers 4

Medicare PIN1119681ID
Other1225105604Npi Indiv
Medicare UPINC36979ID
Medicare PIN1374841ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MAGIC VALLEY PAIN SPECIALISTS, PLLC
Anesthesiology (Pain Medicine)
1344 HILAND AVE STE A
BURLEY, ID 83318
Cassia County (208) 678-7246
DR. JOSEPH R PETERSEN
Specialist
1344 HILAND AVE STE A
BURLEY, ID 83318
Cassia County (208) 678-1138
TYLER ROE DO
Anesthesiology (Pain Medicine)
1344 HILAND AVE STE A
BURLEY, ID 83318
Cassia County (208) 678-7246

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 Joseph R. Petersen, M.D.'s NPI number?

The NPI number for Joseph R. Petersen, M.D. is 1790956514. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Orthopedic Surgery Center.

Where is Joseph R. Petersen, M.D. located?

Joseph R. Petersen, M.D. is located at 1344 Hiland Ave Ste A, Burley, ID 83318. The listed phone number is (208) 678-1138.

What is Joseph R. Petersen, M.D.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Joseph R. Petersen, M.D. was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.