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

Mr. Matthew D. Petersen, ST

Individual provider Surgical Technologist · NPI 1477607083

Mr. Matthew D. Petersen, ST is a Surgical Technologist in Omaha, Nebraska. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

11704 W Center Rd Ste 200
Omaha, NE 68144-4327
Phone: (402) 691-0500
Fax: (402) 691-1586
Show map & directions

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

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X

Record details

NPI number1477607083
Entity typeIndividual (Type 1)
GenderMale
Credentials ST
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJuly 8, 2007

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