Dr. Michael Charles Petersen
M.D. | Pediatric Emergency Medicine | Male
Dr. Michael Charles Petersen, M.D. is a Austin, Texas based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Michael Charles Petersen is
12356 Riata Trace Pkwy # 6006-b, Austin, Texas - 78727-6417. He can be contacted on phone at
512-506-7000 and fax number 314-251-4450.
Dr. Michael Charles Petersen is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael Charles Petersen is
1881798379 which was assigned by NPPES on 12 Sep, 2006 and it was last updated on 04 Sep, 2019.
Dr. Michael Charles Petersen license number is
Q2049 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Texas.
Dr. Michael Charles Petersen has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Michael Charles Petersen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
|---|
| Provider Name : | Dr. Michael Charles Petersen |
|---|
| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Michael Charles Petersen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12356 Riata Trace Pkwy # 6006-b
Austin, TX, 78727-6417
United States |
|---|
| Phone Number : | 512-506-7000 |
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| Fax Number : | 314-251-4450 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881798379 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Sep, 2006 |
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| Last Updated On : | 04 Sep, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Charles Petersen are as mentioned. Primary taxonomy code for Dr. Michael Charles Petersen, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2006027561 | MO |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | Q2049 | TX |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
621 S NEW BALLAS RD, 6006-B
SAINT LOUIS, MO, 63141-8232
United States | SAINT LOUIS, MO | 314-251-6299 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
FHIR
(FHIR URL) | Austin
| No affiliation | HIE
Health Information Exchange (HIE)
|
| 12356 RIATA TRACE PKWY # 6006-B,
AUSTIN, TX, 78727-6417
United States |
FHIR
(FHIR URL) | Austin
| No affiliation | DIRECT
Direct
| CSV
CSV
| 12356 RIATA TRACE PKWY # 6006-B,
AUSTIN, TX, 78727-6417
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 12356 Riata Trace Pkwy # 6006-b
Austin, TX, 78727-6417
United States |
|---|
| Phone Number : | 512-506-7000 |
|---|
| Fax Number : | 314-251-4450 |
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Business Location:
Patients can refer following map for directions to
Dr. Michael Charles Petersen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.