DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SCOTT D. PETERSEN, PA-C

Active

MR. SCOTT D. PETERSEN, PA-C is a Physician Assistant healthcare provider located in AVON, Ohio. NPI 1689640948 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · AVON, OH

Registration Details

NPI Number
1689640948
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2006 (20.42951171864 yrs)
Last Updated
Nov 17, 2016
Licenses
50.002138 (OH)
85000637 (IL)
0010-02841 (NC)

Practice Information

Address
33300 CLEVELAND CLINIC BLVD
MAIL CODE AVH4-143
AVON, OH, 44011
Browse OH providers · Browse ZIP 44011
Phone
4406955449
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in AVON, OH

Name Credential NPI
MICHAEL J. YAROSH P.A. 1881662609
ANGELA M HORVATH PA 1245410372
MR. BRYON PHILIPP SZORADY 1497990824
JANICE L KRISKO PA 1104149566
AMANDA DUNCAN PA-C 1346523636
ABIGAIL LIVINGSTON PAC 1376974626
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.