Robert Earl Peterson

M.D. | Pediatric Emergency Medicine | Male

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Complete Profile:

Robert Earl Peterson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Robert Earl Peterson
Credential :	M.D.
Gender :	Male

Business Address:

Robert Earl Peterson 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 :	1000 W Carson St Torrance, CA, 90502-2004 United States
Phone Number :	310-222-3501

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 :	1497020648
NPI Entity Type :	Individual
First Enrolment Date :	20 Mar, 2012
Last Updated On :	03 May, 2018

Medicare Participation:

Robert Earl Peterson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6800181058
Medicare Enrollment ID :	I20180523000676
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2012
Accepts Medicare?	Yes. Robert Earl Peterson accepts medicare insurance.

Group Practice Association:

Robert Earl Peterson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Robert Earl Peterson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Association Of Chrmc And University Physicians	9133032964	209	4800 Sand Point Way Ne Seattle, WA - 981053901 Ph: 2065262000	Yes

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 Earl Peterson are as mentioned. Primary taxonomy code for Robert Earl Peterson, M.D. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	A1	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
1611 NW 12TH AVE, MIAMI, FL, 33136-1005 United States	MIAMI, FL	206-300-8267

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 :	1000 W Carson St Torrance, CA, 90502-2004 United States

Business Location:

Patients can refer following map for directions to Robert Earl Peterson 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.