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

Shane Stean Peterson, DO

Individual provider Diagnostic Radiology Physician · NPI 1609439066

Shane Stean Peterson, DO is a Diagnostic Radiology in Orlando, Florida. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2019, 7 years ago. Practices with Florida Hospital Medical Group Inc, a 329-clinician group and accepts Medicare assignment. Licensed in Connecticut, Florida and Minnesota.

Years since qualifying
7
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
CT, FL, MN
In the registry since
2019
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

601 E Rollins St Adventhealth Medical Group Radiology At Central Florida
Orlando, FL 32803-1248
Phone: (407) 200-2355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OS22276 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 069426 (CT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 76770 (MN)

Record details

NPI number1609439066
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 20, 2019
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing addressPo Box 946414, Atlanta, GA 30394-6414

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Florida Hospital Medical Group Inc — 329 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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