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NPISignal

Individual Healthcare Provider

Steve Leroy Peterson, M.D.

NPI Record: ActiveOtolaryngology — Otolaryngology/Facial Plastic Surgery
NPI1306849500
Johnson City, Tennessee

Provider's NPPES record last updated: November 5, 2014

Overview

Entity Type
Individual Healthcare Provider
NPI
1306849500
Primary Specialty
Otolaryngology — Otolaryngology/Facial Plastic Surgery
Practice Location
Johnson City, Tennessee
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 10:02 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Otolaryngology

    Otolaryngology/Facial Plastic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

    Taxonomy code 207YX0905X
  • Otolaryngology

    Plastic Surgery within the Head & Neck

    Allopathic & Osteopathic Physicians

    An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

    Taxonomy code 207YX0007X
  • Dermatology

    MOHS-Micrographic Surgery

    Allopathic & Osteopathic Physicians

    The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

    Taxonomy code 207ND0101X

Provider-Reported License Information

Otolaryngology (Tennessee)
39354
Otolaryngology (Tennessee)
39354
Dermatology (Tennessee)
39354
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1009 North State of Franklin Access Road

Johnson City, Tennessee 37604

Phone: (423) 929-7546

Record Information

Enumeration Date
May 23, 2005
Provider's NPPES Record Last Updated
November 5, 2014
NPISignal NPPES Dataset
August 2026

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