DR. EDWIN PETER PETERSON (NPI# 1023282647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023282647 |
| Entity Type | Individual |
| Full Name | DR. EDWIN PETER PETERSON |
| Credential | MD |
| Practice Address |
375 W Northfield Church Rd Ann Arbor MI 48105 |
| Practice Telephone | 7346631705 |
| Practice Fax Number | 7346631302 |
| Mailing Telephone | 7346631705 |
| Mailing Fax Number | 7346631302 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
4301023747 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922012061 | Edwin Roy Peterson | Dentist | 629 S Main St, Nevada, MO 64772-3555 | 2006-07-27 |
| Street Address |
375 W NORTHFIELD CHURCH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083735294 | Shahryar Keikhosrow Kavoussi | Obstetrics & Gynecology | 1500 E Medical Center Dr, L4000 Wh, Ann Arbor, MI 48109-0999 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801081625 | Advanced Reproductive Medicine & Surgery, PC | Obstetrics & Gynecology | 4190 Telegraph Rd, Suite 1500, Bloomfield Hills, MI 48302-2079 | 2007-09-14 |
| 1053472027 | Carole L Kowalczyk | Obstetrics & Gynecology | 4700 E. 13 Mile Road, Suite 200, Warren, MI 48092 | 2006-12-13 |
| 1861571150 | Fereshteh Fahimi | Obstetrics & Gynecology | Spb 1200 E Michigan Ave, Suite 305, Lansing, MI 48912 | 2006-11-06 |
| 1851324610 | Grand Rapids Fertility & Ivf, PC | Obstetrics & Gynecology | 555 Mid Towne St Ne, Ste 300, Grand Rapids, MI 49503-2515 | 2006-07-07 |
| 1902867625 | Manvinder Singh | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-03-31 |
| 1740240654 | Alexander Maximovich | Obstetrics & Gynecology | 4190 Telegraph Road, Suite 1500, Bloomfield Hills, MI 48302 | 2006-03-24 |
| 1831159078 | Bradley Todd Miller | Obstetrics & Gynecology | 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 | 2006-03-23 |
| 1013994425 | Maria F Hayes | Obstetrics & Gynecology | 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 | 2005-12-28 |
| 1407838535 | Asghar Afsari | Obstetrics & Gynecology | 7419 Middlebelt Rd, Suite 1, West Bloomfield, MI 48322-4182 | 2005-11-15 |
| 1629364856 | Phillip W Lambert Md PC | Obstetrics & Gynecology | 341 Canterbury Dr, Saginaw, MI 48638-5812 | 2011-06-27 |
| Find all providers with the same taxonomy | ||||
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| 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.