DR. GARY J PETERSON MD
NPI 1902900517
Surgery - Vascular Surgery in Saint Louis, MO
NPI Status: Active since September 12, 2006
Contact Information
10012 KENNERLY RD
SUITE 305
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 525-4325
Fax: (314) 525-4365
- Individual
- Male
- Surgery
- Vascular Surgery
About GARY PETERSON
This page provides the complete NPI Profile along with additional information for Gary Peterson, a provider established in Saint Louis, Missouri with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1902900517 assigned on September 2006. The practitioner's primary taxonomy code is 2086S0129X with license number R5836 (MO). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1902900517
- Provider Name
- DR. GARY J PETERSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10012 KENNERLY RD SUITE 305 SAINT LOUIS, MO 63128
- Location Phone
- (314) 525-4325
- Location Fax
- (314) 525-4365
- Mailing Address
- 10012 KENNERLY RD SUITE 305 SAINT LOUIS, MO 63128
- Mailing Phone
- (314) 525-4325
- Mailing Fax
- (314) 525-4365
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-12-2006
- Last Update Date
- 05-24-2016
- Code Navigator
Location Map
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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R5836
- License State
- MO
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.
*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 |
|---|---|---|---|
| 1902900517 | MEDICAID (05) | MO | |
| MA3163034 | MEDICARE PIN (08) | MO |
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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 1902900517, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
ST LOUIS, MO 63128
SAINT LOUIS, MO 63128
ST LOUIS, MO 63128
ST LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
ST LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902900517, enumerated as an "individual" on September 12, 2006.
The provider is located at 10012 KENNERLY RD SUITE 305 SAINT LOUIS, MO 63128 and the phone number is (314) 525-4325.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
