Iris Havlina Donovan Petersen, MD
NPI 1659868560ActiveIndividual· Pediatrics· Olympia, WA
Pediatrics (MD) in Olympia, Washington, licensed in WA and UT, with an NPI issued in April 2018. Enrolled in Medicare as order and referring only - pediatric medicine.
Overview
| NPI | 1659868560 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 16, 2018 |
| Last updated in NPPES | Aug 8, 2021 |
| Certified by provider | Aug 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | MD61140296 | WA |
| Pediatrics | 208000000X | 11405455-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Pediatric Medicine (UT) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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