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

Dr. Richard Taft Peterson, DO

Individual provider Emergency Medicine Physician · NPI 1083290944

Dr. Richard Taft Peterson, DO is an Emergency Medicine in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Emergency Professional Services PC, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Kentucky.

Years since qualifying
5
Licensed in
AZ, KY
In the registry since
2021
Specialties on file
3
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

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 119 Oakfield Dr, Brandon, FL 33511-5779 — (813) 681-5551

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 10867 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 010687 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence TP357 (KY)

Record details

NPI number1083290944
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Emergency Professional Services Pc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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