DR. MATTHEW JAMES PETERSEN


Address: 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202-1239
Phone: 3179625740

DR. MATTHEW JAMES PETERSEN (NPI# 1972767556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972767556
Entity Type Individual
Full Name DR. MATTHEW JAMES PETERSEN
Credential M.D.
Practice Address 1701 N Senate Blvd
Radiology Dept
Indianapolis
IN 46202-1239
Mailing Address 714 N Senate Ave
Ste 100
Indianapolis
IN 46202-3763
Practice Telephone 3179625740
Enumeration Date 2008-07-14
Last Update Date 2011-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
01069464A IN Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
11013619A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201027110 05
IN RAILROAD MEDICARE P00966874 01

Other Providers MATTHEW PETERSEN

NPI Name Taxonomy Address Enumeration
1477607083 Matthew D. Petersen Specialist/Technologist, Other 11704 W Center Rd Ste 200, Omaha, NE 68144-4327 2007-01-22
1710062351 Matthew Petersen Urology 24 Research Way, Suite 500, East Setauket, NY 11733 2006-10-25
1396206397 Matthew Petersen Student in an Organized Health Care Education/Training Program 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 2019-03-31
1629565767 Matthew Gary Petersen Student in an Organized Health Care Education/Training Program 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 2018-04-14
1053764639 Matthew Petersen Physician Assistant 11800 Fm 1960 Rd W, Houston, TX 77065-3840 2016-07-19
1154554004 Matthew Joel Petersen Counselor 711 Stanton L Young Blvd, Oklahoma City, OK 73104-5023 2009-08-26
1558569038 Matthew L Petersen Family Medicine 4600 Valley Road, Suite 200, Lincoln, NE 68510-4844 2007-07-06

Office Location

Street Address 1701 N SENATE BLVD
RADIOLOGY DEPT
City INDIANAPOLIS
State IN
Zip Code 46202-1239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073501235 Lara Jane Pesavento Anesthesiology 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2005-10-12
1508475526 Wade Everett Oliver Nurse Practitioner 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-07-27
1538778600 Marleana Leann Groh Nurse Practitioner 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-07-24
1982225447 Saily Jacqueline Guerra Dietitian, Registered 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-05-06
1013538826 Paige Randolph Nurse Practitioner 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-05-04
1780213926 John Peacock Student in an Organized Health Care Education/Training Program 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-04-08
1295354462 Kylie J Miller Student in an Organized Health Care Education/Training Program 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-04-08
1962031492 Kristina Lynn Mathey Counselor 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-04-06
1023647674 Lindsay Nicole Troyer Student in an Organized Health Care Education/Training Program 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-04-06
1548894686 Courtney Leanne Kroes Social Worker 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-02-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
Find all providers in zip 46202

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598235566 A Mri, LLC Radiology 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 2018-12-03
1992138804 George Byington Pratt IIi Radiology 9015 Crystal Lake Drive, Indianapolis, IN 46240 2013-08-14
1922340439 Ted Alexander Seltman Radiology 550 University Blvd Rm 663, Indianapolis, IN 46202-5149 2013-03-22
1386919488 Paul Joseph Niziolek Radiology 714 N Senate Ave Ste 100, Indianapolis, IN 46202 2012-03-21
1770862328 Oscar Danilo Rosales Radiology 1001 W 10st, Wishard Hospital West Building M200, Indianapolis, IN 46202 2011-08-15
1326362120 Jaimie M. Howell Radiology 714 N Senate Blvd., Suite 100, Indianapolis, IN 46202-3297 2010-03-23
1558525535 Joel A Yalowitz Radiology 3907 Guilford Ave, Indianapolis, IN 46205-2827 2008-07-18
1891958757 George Louis Trilikis Radiology 550 N University Blvd Room 0641, Dept of Radiology In University School of Medicine, Indianapolis, IN 46202 2008-07-09
1366604134 Ian Wong Radiology 924 Fayette St, Indianapolis, IN 46202-3019 2008-07-01
1780845941 Megan Beth Marine Radiology 550 University Blvd Rm 641, Indianapolis, IN 46202-5149 2008-06-20
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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