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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Joseph R. Petersen, M.D.

Specialist in Burley, ID · enumerated 2008 · authorized official Joseph Petersen, Physician/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790956514

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Registry record

Entity type Organization (Type 2)
Legal business name Joseph R. Petersen, M.D.
Other name <Unavail>
Practice address 1344 Hiland Ave Ste A, Burley, ID, 83318
Phone (208) 678-1138
Fax (208) 678-5833
Enumeration date Mar 19, 2008
Last updated in NPPES Mar 19, 2008

Taxonomy & classification

174400000X Specialist Other Service Providers · License M5283 (ID) Primary

Authorized official

Name Joseph Petersen
Title Physician/Owner
Phone (208) 678-1138

Other identifiers

Identifier Type State Issuer
1225105604 Other - NPI INDIV

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Joseph R. Petersen, M.D.?
Joseph R. Petersen, M.D. is registered in NPPES as a Specialist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-19.