DR. DANA M PETERSEN M.D.
NPI 1912974155
Specialist in Olympia, WA
- Individual
- Male
- Specialist
- Accepts Insurance
About DANA PETERSEN
This page provides the complete NPI Profile along with additional information for Dana Petersen, a provider established in Olympia, Washington with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1912974155 assigned on March 2006. The practitioner's primary taxonomy code is 174400000X with license number MD00019243 (WA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1912974155 Verify this NPI
- Provider Name
- DR. DANA M PETERSEN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3434 12TH AVE NE OLYMPIA, WA 98506
- Location Phone
- (360) 413-8470
- Location Fax
- (360) 413-8490
- Mailing Address
- 3434 12TH AVE NE OLYMPIA, WA 98506
- Mailing Phone
- (360) 413-8470
- Mailing Fax
- (360) 413-8490
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-07-2006
- Last Update Date
- 02-03-2014
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD00019243
- License State
- WA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
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 |
|---|---|---|---|
| D33876 | MEDICARE UPIN (02) | WA | |
| 8422909 | MEDICAID (05) | WA |
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Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
OLYMPIA, WA 98506
OLYMPIA, WA 98506
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912974155, enumerated as an "individual" on March 07, 2006.
The provider is located at 3434 12TH AVE NE OLYMPIA, WA 98506 and the phone number is (360) 413-8470.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
