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Dr. Stacy L Peterson

Plastic and Reconstructive Surgery

818 N Emporia St Suite 305
Wichita , Kansas 67214-3729

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Dr. Stacy L Peterson

Plastic and Reconstructive Surgery

818 N Emporia St Suite 305
Wichita , Kansas 67214-3729

(316) 265-1685

Write a Review Save Call

Dr. Stacy L Peterson

Plastic and Reconstructive Surgery

818 N Emporia St Suite 305
Wichita , Kansas 67214-3729

(316) 265-1685 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Plastic and Reconstructive Surgery

Languages spoken

  • English

Location

818 N Emporia St Suite 305 Wichita , Kansas 67214-3729

First Address

  • Dr. Stacy L Peterson
  • 818 N Emporia St Suite 305
  • Wichita, KS
  • Zip : 67214-3729
  • Fax : (316) 265-1685
  • Phone : (316) 265-1441

Second Address

  • Dr. Stacy L Peterson
  • 818 N Emporia St Suite 305
  • Wichita, KS
  • Zip : 67214-3729
  • Fax : (316) 265-1685
  • Phone : (316) 265-1441

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FAQs


Where did Dr. Stacy L Peterson attend graduate school?

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Where did Dr. Stacy L Peterson do his residency?

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Where did Dr. Stacy L Peterson do his fellowship?

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Is Dr. Stacy L Peterson board certified?

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What type of doctor is Dr. Stacy L Peterson

Plastic and Reconstructive Surgery

In what state does Dr. Stacy L Peterson practice in?

Kansas

Where is Dr. Stacy L Peterson ’s practice located?

818 N Emporia St Suite 305 , Wichita, Kansas, 67214-3729

What is Dr. Stacy L Peterson ’s gender?

Male

Is Dr. Stacy L Peterson a sole practitioner?

No

Is Dr. Stacy L Peterson accepting new patients?

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What languages does Dr. Stacy L Peterson speak?

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Does Dr. Stacy L Peterson accept insurance?

Yes, Dr. Stacy L Peterson accepts insurance

Does Dr. Stacy L Peterson offers telemedicine?

Dr. Stacy L Peterson has not indicated if he offers telemedicine

What is Dr. Stacy L Peterson ’s professional license number?

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What is Dr. Stacy L Peterson ’s NPI number?

1316030638

Does Dr. Stacy L Peterson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2086S0122X Plastic and Reconstructive Surgery 0419242 KS

National Provider Identifier

NPI 1316030638
Provider Name Dr. Stacy L Peterson
First Address Wichita, KS 67214-3729
Second Address Wichita, KS 67214-3729
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 30/09/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
B69280 (02)

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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