PAUL C. PETERSON MD – NPI #1902805518
Psychiatry & Neurology

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

PAUL PETERSON is a psychiatry & neurologist located in SAINT CLOUD, MN. NPPES has assigned the NPI number 1902805518 to PAUL PETERSON on July 15, 2005. 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 2084V0102X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Vascular Neurology

The NPI profile was previously updated about 6 years ago on Apr 23, 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 PAUL PETERSON below.

NPI Profile for
PAUL C. PETERSON

NPI Number
1902805518
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAUL C. PETERSON
Credentials
MD
Primary location
1200 6TH AVE N
SAINT CLOUD, MN 56303-2735
Phone: (320) 255-7891 Fax: (320) 255-5882
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 23, 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.

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
2084V0102X
- Psychiatry & Neurology / Vascular Neurology (Primary)		 MN 64851
2084S0012X
- Psychiatry & Neurology / Sleep Medicine		 NC 200300395
207P00000X
- Emergency Medicine		 NC 200300395

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 TEXAS MEDICAL BRANCH AT GALVESTON - Graduated 1995
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
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
PAUL PETERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • ST CLOUD HOSPITAL
      1406 6TH AVE NORTH
      SAINT CLOUD, MN 56303

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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.