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

Eric Petersen, MD

Individual provider Surgical Critical Care Physician · NPI 1255727863

Eric Petersen, MD is a General Surgery in Phoenix, Arizona. Graduated from University of Colorado School of Medicine, Denver in 2015, 11 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Trained at
University of Colorado School of Medicine, Denver
Licensed in
AZ
In the registry since
2015
Specialties on file
3
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

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone: (602) 521-5968
Fax: (602) 521-5988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 70554 (AZ)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 70554 (AZ)
Aerospace Medicine Physician Taxonomy 2083A0100X · Licence 70554 (AZ)

Record details

NPI number1255727863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2015
Last updated in NPPESJuly 24, 2023
Certification dateJune 24, 2023
Mailing addressTrauma And Emergency Surgery Service 1111 E McDowell Rd, Phoenix, AZ 85006-2612

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2015 (11 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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