Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashley Anne Petersen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003058579

Ashley Anne Petersen, MD is a Pediatric Medicine in Coweta, Oklahoma. Graduated from University of Texas Southwestern Medical School at Dallas in 2009, 17 years ago. Practices with Warren Clinic Inc, a 772-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
17
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
OK
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30011 E State Highway 51
Coweta, OK 74429-7681
Phone: (918) 486-2161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 29052 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003058579
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2009
Last updated in NPPESJuly 2, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2009 (17 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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