MARK G. PETERSON MD – NPI #1134182355
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

MARK PETERSON is a physician located in GRAND FORKS, ND. NPPES has assigned the NPI number 1134182355 to MARK PETERSON on April 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 6 years ago on Jan 03, 2020. 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 MARK PETERSON below.

NPI Profile for
MARK G. PETERSON

NPI Number
1134182355
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK G. PETERSON
Credentials
MD
Primary location
2650 32ND AVE S STE D
GRAND FORKS, ND 58201-6541
Phone: (701) 732-2700 Fax: (701) 732-2701
Mailing address
PO BOX 5210
GRAND FORKS, ND 58206-5210
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 03, 2020

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.

Identifiers

Identifiers for MARK PETERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF MNMN244P5PE
OTHERBCBS OF NDND26183
MEDICAIDMN453615100
MEDICAIDND18675
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)		 ND 7376

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 NORTH DAKOTA SCHOOL OF MEDICINE - Graduated 1989
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
MARK PETERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTON SOUND REGIONAL HOSPITAL
      1000 GREG KRUSCHEK AVENUE (P O BOX 966)
      NOME, AK 99762
    • SOUTHWEST HEALTHCARE SERVICES
      802 2ND ST NW
      BOWMAN, ND 58623
    • ST LUKE'S HOSPITAL
      702 1ST ST SW
      CROSBY, ND 58730
    • TIOGA MEDICAL CENTER
      810 N WELO ST
      TIOGA, ND 58852
    • TOWNER COUNTY MEDICAL CENTER
      HWY 281 N
      CANDO, ND 58324
  • NURSING HOME
    • TOWNER COUNTY LIVING CTR
      701 11TH ST
      CANDO, ND 58324

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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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.