PHILLIP K. PETERSON MD – NPI #1710928486
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

PHILLIP PETERSON is a physician located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1710928486 to PHILLIP PETERSON on June 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 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

The NPI profile was previously updated about 14 years ago on Oct 31, 2012. 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 PHILLIP PETERSON below.

NPI Profile for
PHILLIP K. PETERSON

NPI Number
1710928486
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILLIP K. PETERSON
Credentials
MD
Primary location
516 DELAWARE STREET SE
UMP DELAWARE STREET CLINIC
MINNEAPOLIS, MN 55455
Phone: (612) 884-0649 Fax:
Mailing address
720 WASHINGTON AVE SE
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55414
Phone: (612) 884-0649 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for PHILLIP 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
MEDICAIDMN112270300
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
207RI0200X
- Internal Medicine / Infectious Disease (Primary)
MN 22228

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.