Eric Petersen, MD
Eric Petersen, MD is a Trauma Surgery Physician in Phoenix, AZ, registered under NPI 1255727863. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1111 E MCDOWELL RD, Phoenix, AZ 85006. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 70554 | AZ | Surgical Critical Care Physician |
| 70554 | AZ | Trauma Surgery Physician primary |
| 70554 | AZ | Aerospace Medicine Physician |
This provider holds licence 70554 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - General Surgery
- PAC ID
- 9830550755
- Enrollment ID
- I20230725002030
Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Trauma Surgery covers
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. NUCC Health Care Provider Taxonomy, code 2086S0127X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0102X | Surgical Critical Care Physician Surgical Critical Care | 70554 | AZ | |
| 2086S0127X | Trauma Surgery Physician Trauma Surgery | 70554 | AZ | primary |
| 2083A0100X | Aerospace Medicine Physician Aerospace Medicine | 70554 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1255727863 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 9, 2015 |
| Last updated | Jul 24, 2023 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | MD |
| Practice address |
1111 E MCDOWELL RD Phoenix, AZ 85006 (602) 521-5968 Fax (602) 521-5988 |
| Mailing address |
TRAUMA AND EMERGENCY SURGERY SERVICE 1111 E MCDOWELL RD Phoenix, AZ 85006 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 5 | 5 | 7 | 2 | 7 | 8 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 5 | 2 | 5 | 8 | 3 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.