PHILIP DEAN PETERSON (NPI# 1033472147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033472147 |
| Entity Type | Individual |
| Full Name | PHILIP DEAN PETERSON |
| Credential | MD |
| Practice Address |
Naval Hospital Camp Lejeune 100 Brewster Blvd Camp Lejeune NC 28547-2538 |
| Mailing Address |
Naval Hospital, 100 Brewster Blvd. Department of Pathology Camp Lejeune NC 28547-2538 |
| Practice Telephone | 9104504600 |
| Mailing Telephone | 9104504600 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2017-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
57296 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225167109 | Philip C Peterson | Chiropractor | 1924 Spring St, Paso Robles, CA 93446-1620 | 2007-03-05 |
| 1417290040 | Philip Dikes Peterson | Counselor | 2853 Groom Dr, Richmond, CA 94806-2664 | 2013-04-02 |
| Street Address |
NAVAL HOSPITAL CAMP LEJEUNE 100 BREWSTER BLVD |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333096 | Ezra Lamont Johnson | Technician, Other | Naval Hospital Camp Lejeune, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2006-02-07 |
| 1780171173 | Emily Makhlouf | Military Health Care Provider | Naval Hospital Camp Lejeune, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2018-04-20 |
| 1891052288 | Dale Frederick Butler | Surgery | Naval Hospital Camp Lejeune, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2012-04-23 |
| 1639147689 | George Leo Krow Jr. | Military Health Care Provider | Naval Hospital Camp Lejeune, 100 Brewster Blvd, Camp Lejeune, NC 28542-2538 | 2006-03-08 |
| 1043284177 | Alice Ann Cagnina | Advanced Practice Midwife | Naval Hospital Camp Lejeune, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2006-02-15 |
| 1386618411 | Necia L Williams | Anesthesiology | Naval Hospital Camp Lejeune, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144385790 | Sean Michael Baraniak | Pathology | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2006-12-26 |
| 1821183708 | Elizabeth Anne Grasmuck | Pathology | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2006-10-04 |
| 1275507741 | Michael Anthony Favata | Pathology | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2006-02-14 |
| 1114998002 | Maria Belinda Magbanua Ramos | Pathology | 100 Brewster Blvd, Laboratory, Camp Lejeune, NC 28547-2538 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484965 | Azad Bakht | Pathology | Medical Center Boulevard Department of Pathology, Winston Salem, NC 27157-0001 | 2020-07-10 |
| 1316401375 | Celligent Diagnostics, LLC | Pathology | 101 E W T Harris Blvd Ste 1212, Charlotte, NC 28262-3423 | 2019-01-24 |
| 1487170387 | Coastal Carolina Pathology, Pa | Pathology | 2606 Iron Gate Dr Ste 201, Wilmington, NC 28412-2494 | 2017-08-22 |
| 1134651748 | Elsa Mondou | Pathology | 6008 Bunchberry Ct, Raleigh, NC 27616-5454 | 2017-04-02 |
| 1578910006 | Jennifer Michelle Crimmins | Pathology | Dumc 3712, Durham, NC 27710-4220 | 2016-05-13 |
| 1407237811 | Cori Breslauer | Pathology | Pathology and Lab Medicine, Bbb Cb 7525, Chapel Hill, NC 27599-7525 | 2015-06-11 |
| 1548668338 | Cheryl Levine | Pathology | 1740 Montclair Ave, Gastonia, NC 28054-4848 | 2014-12-11 |
| 1396005369 | Bart B Singer | Pathology | Unc Pathology Cb 7525 Brinkhous-bullitt Building, Chapel Hill, NC 27599-7525 | 2012-05-23 |
| 1750670279 | Nathan Samuel Cuka | Pathology | 3333 Silas Creek Pkwy Fl 1, Winston Salem, NC 27103-3013 | 2011-04-05 |
| 1669790994 | Sara Elizabeth Wobker | Pathology | 303 Brinkhouse Bullitt Bldg, Department of Pathology, Cb# 7525, Chapel Hill, NC 27599-7525 | 2010-05-11 |
| Find all providers with the same taxonomy | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
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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.