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

Thomas Peterson, MD

Individual provider Anesthesiology Physician · NPI 1457764763

Thomas Peterson, MD is an Emergency Medicine in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 2014, 12 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2014
Specialties on file
2
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

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 988-8220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301105698 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301105698 (MI)

Record details

NPI number1457764763
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 4, 2014
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2014 (12 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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