NPI age
12 years
Enumerated 2014-01-22
● Active Type 2 · Organization
Joseph R. Petersen, M.D.
Joseph R. Petersen, M.D. is 1 of 264 durable medical equipment & medical supplies organizations in Idaho.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petersen
Md/owner
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 264 active durable medical equipment & medical supplies providers in Idaho.
NPI age
12 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1344 Hiland Ave, Suite A
Burley, ID 833181564
Mailing address
Po Box 1263
Burley, ID 833180859
Authorized official
Joseph R Petersen
Md/owner
📞 2086781138
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1225105604 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.