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

Dr. Christian Tyler Petersen, MD

Individual provider Anesthesiology Physician · NPI 1558339788

Dr. Christian Tyler Petersen, MD is an Anesthesiology in Portsmouth, Virginia. Practices with Arkansas Childrens Professional Services Organization LLC, a 182-clinician group and accepts Medicare assignment. Licensed in Arkansas and South Carolina.

Licensed in
AR, SC
In the registry since
2006
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

620 John Paul Jones Cir
Portsmouth, VA 23708
Phone: (757) 953-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence E-11290 (AR)
Anesthesiology Physician Taxonomy 207L00000X · Licence 20085 (SC)

Record details

NPI number1558339788
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESJune 11, 2018

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Group practice Arkansas Childrens Professional Services Organization Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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