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

Dr. Michael Theodore Peterson, DO

Individual provider Internal Medicine Physician · NPI 1194768606

Dr. Michael Theodore Peterson, DO is an Internal Medicine in Tafton, Pennsylvania. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1989, 37 years ago. Practices with Wayne Memorial Community Health Centers, a 45-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
37
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

132 Manly Rd
Tafton, PA 18464-7829
Phone: (570) 226-2151
Fax: (570) 226-1861
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS-007805L (PA)

Record details

NPI number1194768606
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESMay 19, 2016

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1989 (37 years in practice)
Group practice Wayne Memorial Community Health Centers — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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