DR. SCOTT RICHARD PETERSEN M.D.
NPI 1912986555
Surgery - Trauma Surgery in Phoenix, AZ

Active since January 12, 2006
500 W THOMAS RD, SUITE 400, PHOENIX, AZ 85013(602) 406-3157(602) 406-4113 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott Richard Petersen M.d. NPPES

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

DR. SCOTT RICHARD PETERSEN M.D. (NPI 1912986555) is an individual trauma surgery provider in Phoenix, Arizona, licensed in Arizona (14414) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1912986555
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameDR. SCOTT RICHARD PETERSENCredential: M.D.
Location Address500 W THOMAS RD, SUITE 400Phoenix, AZ 85013-4224
Mailing AddressFile 56765Los Angeles, CA 90074-6765 · (602) 406-3860 · Fax (602) 406-6132
Fax(602) 406-4113
Sole ProprietorNo
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJuly 19, 2012
NPI 1912986555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in AZ · 14414
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License 14414 (AZ)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 14414 (AZ)
500 W THOMAS RD, Phoenix, AZ 85013

Other Identifiers 3

Medicare ID-Type UnspecifiedZ81086AZ · Provider Number
Medicare PINZ79549AZ
Medicaid231720AZ

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.

Internal Medicine
500 W THOMAS RD, SUITE 900
PHOENIX, AZ 85013
Obstetrics & Gynecology (Maternal & Fetal Medicine)
500 W THOMAS RD, SUITE 870
PHOENIX, AZ 85013
Pediatrics
500 W THOMAS RD, SUITE 870
PHOENIX, AZ 85013
Dietitian, Registered
500 W THOMAS RD, SUITE 650
PHOENIX, AZ 85013
Nurse Practitioner (Family)
500 W THOMAS RD, STE 300
PHOENIX, AZ 85013
Nurse Practitioner (Adult Health)
500 W THOMAS RD, SUITE 900
PHOENIX, AZ 85013
Nurse Practitioner (Adult Health)
500 W THOMAS RD, SUITE 730
PHOENIX, AZ 85013
Advanced Practice Midwife
500 W THOMAS RD, STE 720 AND STE 730
PHOENIX, AZ 85013

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 Scott Petersen's NPI number?

The NPI number for Scott Petersen is 1912986555. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Scott Petersen located?

Scott Petersen practices at 500 W Thomas Rd Suite 400, Phoenix, AZ 85013. The listed phone number is (602) 406-3157.

What is Scott Petersen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

When was this NPI record last updated?

The NPPES record for Scott Petersen was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.