Michael Petersen, M.D.

Individual Active
NPI 1881798379
Pediatric Emergency Medicine (Pediatrics) Physician Austin, TX

NPI 1881798379 belongs to Michael Petersen, M.D., a pediatric emergency medicine (pediatrics) physician with a practice location in Austin, TX. The NPI was issued on September 12, 2006, and the record was last updated in NPPES on September 4, 2019. The record lists 2 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X Q2049 (TX)
Pediatrics Physician 208000000X 2006027561 (MO)

Practice locations

12356 Riata Trace Pkwy # 6006-B
Austin, TX 78727-6417
Phone: (512) 506-7000
621 S New Ballas Rd
6006-B
Saint Louis, MO 63141-8232
Phone: (314) 251-6299

Local context

Active NPPES records list 15 providers with pediatric emergency medicine (pediatrics) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 227 in Texas and 2,964 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Michael Charles Petersen
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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