GLORIA J. PETERSON MD – NPI #1982638094
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.

GLORIA PETERSON is a physician located in ROSEVILLE, MN. NPPES has assigned the NPI number 1982638094 to GLORIA PETERSON on July 11, 2006. 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 6 years ago on Jan 30, 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 GLORIA PETERSON below.

NPI Profile for
GLORIA J. PETERSON

NPI Number
1982638094
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GLORIA J. PETERSON
Credentials
MD
Primary location
3050 CENTRE POINT DRIVE
SUITE 200
ROSEVILLE, MN 55113
Phone: (651) 631-4242 Fax: (651) 631-4260
Mailing address
8170 33RD AVE S
BLOOMINGTON, MN 55425-4516
Phone: (651) 631-4242 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 30, 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 GLORIA 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
MEDICAIDMN634705300
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)
MN 32724
174400000X
- Specialist
MN 32724

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.