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Dr. John Cleve Peterson III

Family Doctor - Adult Medicine Geriatric Medicine

7030 N Mercer Way
Mercer Island , Washington 98040-2130

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Dr. John Cleve Peterson III

Family Doctor - Adult Medicine Geriatric Medicine

7030 N Mercer Way
Mercer Island , Washington 98040-2130

(206) 232-7679

Write a Review Save Call

Dr. John Cleve Peterson III

Family Doctor - Adult Medicine Geriatric Medicine

7030 N Mercer Way
Mercer Island , Washington 98040-2130

(206) 232-7679 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Adult Medicine
  • Geriatric Medicine

Languages spoken

  • English

Location

7030 N Mercer Way Mercer Island , Washington 98040-2130

First Address

  • Dr. John Cleve Peterson III
  • 7030 N Mercer Way
  • Mercer Island, WA
  • Zip : 98040-2130
  • Fax : (206) 232-7679
  • Phone : (206) 232-7669

Second Address

  • Dr. John Cleve Peterson III
  • 7030 N Mercer Way
  • Mercer Island, WA
  • Zip : 98040-2130
  • Fax : (206) 232-7679
  • Phone : (206) 232-7669

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FAQs


Where did Dr. John Cleve Peterson III attend graduate school?

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Where did Dr. John Cleve Peterson III do his residency?

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Where did Dr. John Cleve Peterson III do his fellowship?

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Is Dr. John Cleve Peterson III board certified?

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In what state does Dr. John Cleve Peterson III practice in?

Washington

Where is Dr. John Cleve Peterson III’s practice located?

7030 N Mercer Way , Mercer Island, Washington, 98040-2130

What is Dr. John Cleve Peterson III’s gender?

Male

Is Dr. John Cleve Peterson III a sole practitioner?

No

Is Dr. John Cleve Peterson III accepting new patients?

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What languages does Dr. John Cleve Peterson III speak?

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Does Dr. John Cleve Peterson III accept insurance?

Yes, Dr. John Cleve Peterson III accepts insurance

Does Dr. John Cleve Peterson III offers telemedicine?

Dr. John Cleve Peterson III has not indicated if he offers telemedicine

What is Dr. John Cleve Peterson III’s professional license number?

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What is Dr. John Cleve Peterson III’s NPI number?

1023111002

Does Dr. John Cleve Peterson III have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207QA0505X Family Doctor - Adult Medicine 11059 WA
N 207RG0300X Geriatric Medicine 11059 WA

National Provider Identifier

NPI 1023111002
Provider Name Dr. John Cleve Peterson III
First Address Mercer Island, WA 98040-2130
Second Address Mercer Island, WA 98040-2130
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 06/09/2006
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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