John P Petersen MD PA
John P Petersen MD PA is a healthcare organization registered as Specialist in Vero Beach, FL, holding Type 2 (organization) NPI 1215151113 since 2007. The authorized official on file is John Petersen, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215151113 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | John P Petersen MD PA |
| Practice address | 3555 10TH CT, Vero Beach, FL, 32960 |
| Phone | 7727943333 |
| Fax | 7725696949 |
| Enumeration date | 2007-04-12 |
| Last updated in NPPES | 2020-03-25 |
Authorized official
| Name | John Petersen |
|---|---|
| Title | Physician |
| Phone | 7727943333 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920004346 | Other | FL | RAILROAD MEDICARE |
| 374792100 | Medicaid | FL | — |
Copy-ready billing details
Provider: John P Petersen MD PA NPI: 1215151113 Taxonomy: 174400000X (Specialist) Address: 3555 10TH CT, Vero Beach, FL, 32960
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497711972 | Charles Salzberg | Individual | Dermatology Physician | Vero Beach, FL |
| 1669679809 | Moussa Sissoko | Individual | Hematology & Oncology Physician | Vero Beach, FL |
| 1407155153 | Ashley Mays | Individual | Otolaryngology Physician | Vero Beach, FL |
| 1801283171 | Jonathan Braue | Individual | Dermatology Physician | Vero Beach, FL |
| 1417312802 | Indian River Health Services Inc | Organization | Oncology Clinic/Center | Vero Beach, FL |
| 1770012411 | Jean-Pierre Obeid | Individual | Radiation Oncology Physician | Vero Beach, FL |
| 1548812449 | Nataly Torrejon Guzman | Individual | Hematology & Oncology Physician | Vero Beach, FL |
| 1730830381 | Stevie Conklin | Individual | Physician Assistant | Vero Beach, FL |
Verify this record
Cross-check NPI 1215151113 against the authoritative CMS record: view John P Petersen MD PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is John P Petersen MD PA located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-25.