THEA E. PETERSEN MD – NPI #1083887087
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

THEA PETERSEN is a physician located in COTTAGE GROVE, OR. NPPES has assigned the NPI number 1083887087 to THEA PETERSEN on April 10, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Apr 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THEA PETERSEN below.

NPI Profile for
THEA E. PETERSEN

NPI Number
1083887087
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
THEA E. PETERSEN
Credentials
MD
Primary location
1515 VILLAGE DR STE 220
COTTAGE GROVE, OR 97424-9700
Phone: (541) 767-5200 Fax: (541) 767-5353
1 Other location(s):
123 S 27th St
Billings, MT 59101-4200
Phone: (406) 247-3269
Mailing address
PO BOX 24410
EUGENE, OR 97401
Phone: (541) 984-4301 Fax: (541) 335-2527
Sole Proprietor
No
Updated
Certification Date
Apr 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 OR MD152665
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
THEA PETERSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • MERCY MEDICAL CENTER
      2700 NW STEWART PARKWAY
      ROSEBURG, OR 97471
    • PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER
      1515 VILLAGE DRIVE
      COTTAGE GROVE, OR 97424
    • SACRED HEART MEDICAL CENTER - RIVERBEND
      3333 RIVERBEND DRIVE
      SPRINGFIELD, OR 97477
  • HOSPICE
    • CASCADE HEALTH
      2650 SUZANNE WAY SUITE 200
      EUGENE, OR 97408

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.