JEREMY JOHN PETERSON


Address: 919 Northland Dr, Princeton, MN 55371-2172
Phone: 7633893344

JEREMY JOHN PETERSON (NPI# 1043413214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043413214
Entity Type Individual
Full Name JEREMY JOHN PETERSON
Credential MD
Practice Address 919 Northland Dr
Princeton
MN 55371-2172
Practice Telephone 7633893344
Practice Fax Number 7633896221
Mailing Telephone 7633893344
Mailing Fax Number 7633896221
Enumeration Date 2007-06-06
Last Update Date 2010-01-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 49834 MN Allopathic & Osteopathic Physicians

Other Providers JEREMY PETERSON

NPI Name Taxonomy Address Enumeration
1043758378 Jeremy Thomas Peterson Physical Therapist 104a Huffman Mill Rd, Burlington, NC 27215-5113 2017-02-07
1285713248 Jeremy R Peterson Chiropractor 3200 Pine Lake Rd, Suite B, Lincoln, NE 68516-6035 2006-11-02
1275083149 Jeremy Peterson Community/Behavioral Health 1412 140th Pl Ne, Bellevue, WA 98007-3915 2016-10-04
1528463882 Jeremy Peterson Pharmacist 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2014-10-29
1336400456 Jeremy Charles Peterson Neurological Surgery 6325 Humphreys Blvd, Memphis, TN 38120-2300 2012-06-05

Office Location

Street Address 919 NORTHLAND DR
City PRINCETON
State MN
Zip Code 55371-2172

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639143688 Clifford M Matushin Internal Medicine 919 Northland Dr, Princeton, MN 55371-2172 2006-02-15
1063775260 Robert K Brownawell Surgery 919 Northland Dr, Princeton, MN 55371-2172 2012-06-21
1003193509 Nhat-anh Nguyen Ngo Surgery 919 Northland Dr, Princeton, MN 55371-2172 2011-11-11
1366671869 Fairview Pharmacy Services, LLC Non-Pharmacy Dispensing Site 919 Northland Dr, Princeton, MN 55371-2172 2009-07-07
1821242017 Fairview Clinics Clinic/Center 919 Northland Dr, Princeton, MN 55371-2172 2008-11-14
1932367760 Teresa Jean Duscher Nurse Practitioner 919 Northland Dr, Princeton, MN 55371-2172 2008-05-29
1730364191 Infinite Health Collaborative, Pa Durable Medical Equipment & Medical Supplies 919 Northland Dr, Princeton, MN 55371-2172 2008-01-04
1831388974 Lisa M. Cinar Pediatrics 919 Northland Dr, Princeton, MN 55371-2172 2007-10-15
1427149442 Edina Eye Physicians and Surgeons Pa Optometrist 919 Northland Dr, Princeton, MN 55371-2172 2006-09-27
1154355667 Scott E Runde Podiatrist 919 Northland Dr, Princeton, MN 55371-2172 2006-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053962530 Monica Gail Broten Technician 30840 Tiger Street Nw, Princeton, MN 55371 2019-09-25
1215349584 Stephen Destefano Pharmacist 31419 131st Street, Princeton, MN 55371 2014-05-21
1164798948 Andrew Sudbeck Counselor 101 18th Avenue North, Princeton, MN 55371 2012-03-27
1073804803 Sterling Pointe Senior Living LLC Assisted Living Facility 1250 Northland Drive, Princeton, MN 55371 2011-04-27
1568752533 Rum River Health Services, Inc. Substance Abuse Rehabilitation Facility 3079 90th Avenue, Princeton, MN 55371 2011-04-12
1780989038 Dr. Kynan Westermeyer, Dds, Pllc Clinic/Center 404 1st St. N, Princeton, MN 55371 2011-01-18
1275788085 Cody James Leff Pharmacist 1100 11th Avenue South, Princeton, MN 55371 2008-11-20
1164679213 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1101 N 5th St, Princeton, MN 55371 2008-08-20
1801059639 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1506 1st Street, Princeton, MN 55371 2008-07-02
1497940928 James Michael Mandt Pharmacist 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 2007-09-07
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528612587 Joan M Markison Family Medicine 22 Morven Pl, Princeton, NJ 08540-3024 2019-07-29
1619531142 Christina Sheil Family Medicine 101 Carnegie Ctr Ste 101, Princeton, NJ 08540-6231 2019-04-30
1174874200 Alegis Care - New Jersey PC Family Medicine 103 Carnegie Ctr Ste 308, Princeton, NJ 08540-6235 2012-09-28
1548557341 Nicholas Samuel Muscari Family Medicine 324 Oakvale Rd Ste 12, Princeton, WV 24740-3829 2011-06-30
1396041844 The Other Way Family Medicine 923 Cherry Hill Rd, Princeton, NJ 08540-7711 2011-02-01
1699082974 Melissa Ann Hurst Family Medicine 365 Courthouse Rd, Princeton, WV 24740-2431 2010-09-08
1023279197 Mark Leenay Family Medicine 6940 338th Ln Nw, Princeton, MN 55371-5007 2008-06-22
1619135860 Elizabeth Joanne Peterson Family Medicine 911 Northland Dr., Princeton, MN 55371-1737 2008-05-23
1346444106 Brian Zack Family Medicine 14 Hageman Ln, Princeton, NJ 08540-7547 2007-06-13
1952444234 Jana Michelle Peters Family Medicine 365 Courthouse Road, Princeton, WV 24740 2007-02-15
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Competitor

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City PRINCETON
Zip Code 55371

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Dataset Information

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.

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