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

Peter Stevan Jerome, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1396740668

Peter Stevan Jerome, MD is a Critical Care Medicine (Internal Medicine) Physician in Longview, Texas. Works from 3 locations. Licensed in Idaho, Minnesota, North Dakota and Texas and 1 more.

Licensed in
ID, MN, ND, TX, WI
In the registry since
2005
Specialties on file
6
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

700 E Marshall Ave
Longview, TX 75601-5580
Phone: (903) 315-1488
Fax: (903) 315-1656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 215 E Hawaii Ave, Nampa, ID 83686-6011 — (208) 463-3000
  • 1000 1st Dr Nw, Austin, MN 55912-2941 — (507) 433-7351

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence P4321 (TX)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 12731 (ND)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 51376 (MN)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 23793 (WI)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence M-12784 (ID)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence M-12784 (ID)

Record details

NPI number1396740668
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESJanuary 11, 2021
Certification dateJanuary 11, 2021
Mailing address1000 1st Dr Nw, Austin, MN 55912-2941

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