Robert Lynn Petersen

MD | Pediatrics | Male

Robert Lynn Petersen, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Robert Lynn Petersen is 1465 S Grand Blvd, Saint Louis, Missouri - 63104-1003. He can be contacted on phone at 314-577-5380 and fax number 314-268-4141. Robert Lynn Petersen is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert Lynn Petersen is 1912296757 which was assigned by NPPES on 01 Apr, 2011 and it was last updated on 18 Jan, 2021. Robert Lynn Petersen license number is 2014011778 for Pediatrics (208000000X) in Missouri.
Robert Lynn Petersen is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Robert Lynn Petersen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Robert Lynn Petersen
Credential :MD
Gender :Male
Business Address:
Robert Lynn 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 :1465 S Grand Blvd
Saint Louis, MO, 63104-1003
United States
Phone Number :314-577-5380
Fax Number :314-268-4141
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 : 1912296757
NPI Entity Type : Individual
First Enrolment Date : 01 Apr, 2011
Last Updated On : 18 Jan, 2021
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 Robert Lynn Petersen are as mentioned. Primary taxonomy code for Robert Lynn Petersen, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
2080P0202XPediatrics Pediatric CardiologyNo2014011778MO
208000000XPediatricsYes2014011778MO
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 TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
rpetersen23059@direct-ehr-ssmhc.com

No affiliationDIRECT
Direct
OTHER
Other
rpetersen23059@direct-ehr-ssmhc.com
1465 S GRAND BLVD,
SAINT LOUIS, MO, 63104-1003
United States
FHIR
(FHIR URL)
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/

No affiliationOTHER
Other
FHIR API
OTHER
Other
CCD
1465 S GRAND BLVD,
SAINT LOUIS, MO, 63104-1003
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 :1465 S Grand Blvd
Saint Louis, MO, 63104-1003
United States
Phone Number :314-577-5380
Fax Number :314-268-4141
Business Location:
Patients can refer following map for directions to Robert Lynn 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.