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

Dr. John L Petersen, MD

Individual provider Interventional Cardiology Physician · NPI 1629026893

Dr. John L Petersen, MD is an Interventional Cardiology in Roxboro, North Carolina. Graduated from University of Washington School of Medicine in 1995, 31 years ago. Practices with Swedish Health Services, a 79-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
31
Trained at
University of Washington School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

615 Ridge Rd
Roxboro, NC 27573-4629
Phone: (336) 599-2121
Show map & directions

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

Additional practice locations (1)

  • 550 17th Ave Ste 680, Seattle, WA 98122-5795 — (206) 215-4545

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 9800115 (NC)

Record details

NPI number1629026893
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing address615 Ridge Rd, Roxboro, NC 27573-4629

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Swedish Health Services — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services