DR. JOHN CLEVE PETERSON III (NPI# 1023111002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023111002 |
| Entity Type | Individual |
| Full Name | DR. JOHN CLEVE PETERSON III |
| Credential | M.D., M.P.H. |
| Practice Address |
7030 N Mercer Way Mercer Island WA 98040-2130 |
| Practice Telephone | 2062327669 |
| Practice Fax Number | 2062327679 |
| Mailing Telephone | 2062327669 |
| Mailing Fax Number | 2062327679 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
11059 | WA | Allopathic & Osteopathic Physicians |
| X | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
11059 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361119 | John Kendall Peterson Jr. | Respiratory Therapist, Registered | 522 Old Colony Rd, South Abington Township, PA 18411-1604 | 2020-06-17 |
| 1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
| 1740567437 | John Peterson | Durable Medical Equipment & Medical Supplies | 23649 Castle Rock, Mission Viejo, CA 92692-1897 | 2011-11-08 |
| 1366738486 | John M Peterson | Optometrist | 545 S Broadway Ste 500, Denver, CO 80209-4076 | 2011-06-27 |
| 1598905929 | John Michael Peterson | Dentist | 12427 S 4000 W, Ste 200, Riverton, UT 84065 | 2009-02-25 |
| 1457476723 | John R Peterson | Dentist | 3207 Saint Paul Blvd, Rochester, NY 14617-3436 | 2007-03-19 |
| 1295875953 | John Gregory Peterson | Dentist | 9201 W Overland Rd, Boise, ID 83709-2502 | 2007-02-08 |
| 1912065483 | John R Peterson | General Practice | 212 S Mill St, Rushford, MN 55971 | 2006-12-05 |
| 1154404226 | John M Peterson | Neuromusculoskeletal Medicine & OMM | 72 Barre St, Montpelier, VT 05602-3508 | 2006-10-23 |
| 1952408577 | John Michael Peterson | Dentist | 349 W Center St, West Bridgewater, MA 02379-1621 | 2006-09-17 |
| Street Address |
7030 N MERCER WAY |
| City | MERCER ISLAND |
| State | WA |
| Zip Code | 98040-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1881237048 | Lisa Catherine Stewart | Social Worker | Mental Health & Addiction Services, 401 Broadway, Seattle, WA 98040 | 2019-10-21 |
| 1023520665 | Aca Wa Group Corp | Massage Therapist | 7605 Se 27th St, Suite 103, Mercer Island, WA 98040 | 2017-11-03 |
| 1699211995 | Wei Fan | Acupuncturist | 7605 Se 27th Street, Suite 103, Mercer Island, WA 98040 | 2017-01-10 |
| 1346691953 | James M Blue | Neurological Surgery | 4882 Forest Ave S.e., Mercer Island, WA 98040 | 2016-06-24 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1609115641 | Richard Daifuku | Specialist | 9270 Se 36th Pl, Mercer Island, WA 98040 | 2013-02-12 |
| 1689937286 | Karin L. Miller | Social Worker | 9725 Se. 36 St. #301, Mercer Island, WA 98040 | 2012-06-19 |
| 1689947608 | Hector Cantu Aldape | Pathology | 7649 West Mercer Way, Mercer Island, WA 98040 | 2012-02-22 |
| Find all providers in zip 98040 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599273 | Etherton, Inc | Family Medicine | 2610 Yelm Hwy Se, Olympia, WA 98501-4826 | 2020-02-10 |
| 1205494291 | Reah Ann Tobola | Family Medicine | 4602 78th Avenue Ct W, University Place, WA 98466-3036 | 2019-06-04 |
| 1760909055 | Washington State University | Family Medicine | 1455 Ne Cougar Way Bohler Complex, Pullman, WA 99164-0001 | 2017-08-28 |
| 1275057655 | Choice Family Medicine LLC | Family Medicine | 135 Thorne St, Walla Walla, WA 99362-3142 | 2017-07-27 |
| 1366826240 | Andrew Parker | Family Medicine | 3324 Bernie Rd, Camano Island, WA 98282-8217 | 2015-07-10 |
| 1538572151 | Daniel Joseph Cevetello | Family Medicine | 127 Ne Camano Dr Ste A, Camano Island, WA 98282-8732 | 2014-06-11 |
| 1417205618 | John Gary Meyer | Family Medicine | 5715 48th St W, University Place, WA 98467-3677 | 2012-08-17 |
| 1932347119 | Iris Crawford | Family Medicine | 4208 Leary Way, Seattle, WA 98107 | 2009-01-27 |
| 1497925226 | Ingeborg Espinosa Cox | Family Medicine | 325 9th Ave # 359739, Seattle, WA 98104-2420 | 2008-03-07 |
| 1174791974 | Kenneth J Ritter Md Pllc | Family Medicine | 1310 South Union, A-201, Tacoma, WA 98405 | 2008-02-14 |
| Find all providers with the same taxonomy | ||||
| City | MERCER ISLAND |
| Zip Code | 98040 |
Please comment or provide details below to improve the information on DR. JOHN CLEVE PETERSON III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.