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

MS. Susan M. Peterson, PA

Individual provider Medical Physician Assistant · NPI 1538123088

MS. Susan M. Peterson, PA is a Medical Physician Assistant in Orchard Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3045 Southwestern Blvd Ste 104
Orchard Park, NY 14127-1209
Phone: (716) 675-7000
Fax: (716) 674-4630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 007108-1 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 007108-1 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 007108-1 (NY)

Record details

NPI number1538123088
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESJanuary 11, 2016

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