Todd Charles Peterson, DO | |
12499 University Ave, Clive, IA 50325-8288 | |
(515) 440-2676 | |
Not Available |
Full Name | Todd Charles Peterson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 15 Years |
Location | 12499 University Ave, Clive, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407085103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 5101018316 (Michigan) | Secondary |
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | DO-04737 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Knoxville Hospital & Clinics | Knoxville, IA | Hospital |
Broadlawns Medical Center | Des moines, IA | Hospital |
Dallas County Hospital | Perry, IA | Hospital |
Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
Boone County Hospital | Boone, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Orthopaedics And Sports Medicine Pc | 3476691551 | 19 |
Knoxville Community Hospital Inc | 6608787056 | 30 |
Entity Name | Knoxville Community Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770591661 PECOS PAC ID: 6608787056 Enrollment ID: O20031119000804 |
Entity Name | Dallas County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861416307 PECOS PAC ID: 9931094257 Enrollment ID: O20040217000157 |
Entity Name | Boone County Comprehensive Specialty Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316982200 PECOS PAC ID: 8022012293 Enrollment ID: O20060830000218 |
Entity Name | Capital Orthopaedics And Sports Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932432457 PECOS PAC ID: 3476691551 Enrollment ID: O20091110000451 |
Mailing Address | Practice Location Address |
---|---|
Todd Charles Peterson, DO 12411 Lincoln Ave, Clive, IA 50325-8126 Ph: (515) 440-2676 | Todd Charles Peterson, DO 12499 University Ave, Clive, IA 50325-8288 Ph: (515) 440-2676 |
Dr. Brian M Crites, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12499 University Ave, Suite 210, Clive, IA 50325 Phone: 515-440-2676 Fax: 515-440-2677 | |
Ross G Doehrmann, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 12499 University Ave Ste 210, Clive, IA 50325 Phone: 515-440-2676 Fax: 515-440-2677 | |
Mark Douglas Fish, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12499 University Ave, Ste. 210, Clive, IA 50325 Phone: 515-440-2676 Fax: 515-440-2677 | |
Dr. Erica Lynn Evans, DPM Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12499 University Ave Ste 210, Clive, IA 50325 Phone: 515-440-2676 Fax: 515-440-2677 | |
Zaki G Ibrahim, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12499 University Ave Ste 210, Clive, IA 50325 Phone: 515-440-2676 Fax: 515-440-2677 |