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DAVID S. PETERSEN, M.D.S.C.
NPI 1982900825
Urology in Moline, IL

Active since February 09, 2011
2121 1ST STREET A, MOLINE, IL 61265(309) 764-9790(309) 764-9632 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David S. Petersen, M.d.s.c. NPPES

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

DAVID S. PETERSEN, M.D.S.C. (NPI 1982900825) is a healthcare organization registered as an urology in Moline, Illinois and active in the NPI registry since February 2011. The organization lists David S Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1982900825
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameDAVID S. PETERSEN, M.D.S.C.
Location Address2121 1ST STREET AMoline, IL 61265-7745
Mailing Address2121 1st Street AMoline, IL 61265-7745 · (309) 764-9790 · Fax (309) 764-9632
Phone(309) 764-9790
Fax(309) 764-9632
Organization SubpartNo
Authorized OfficialDavid S PetersenPresident · (309) 764-9790
Enumeration DateFebruary 9, 2011
✔ NPI 1982900825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 036-055984
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2121 1ST STREET A, Moline, IL 61265
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Other Identifiers 3

Medicare UPIND09784IL
Medicaid036055984IL
Medicare PIN558720IL

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

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

DR. DAVID SIGURD PETERSEN M.D.
Urology
2121 1ST STREET A
MOLINE, IL 61265
Rock Island County (309) 764-9790

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 David S. Petersen, M.D.S.C.'s NPI number?

The NPI number for David S. Petersen, M.D.S.C. is 1982900825. It was assigned to this organization in the NPPES registry on February 9, 2011.

Where is David S. Petersen, M.D.S.C. located?

David S. Petersen, M.D.S.C. is located at 2121 1st Street A, Moline, IL 61265. The listed phone number is (309) 764-9790.

What is David S. Petersen, M.D.S.C.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for David S. Petersen, M.D.S.C. was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.