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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 49834 | MN | Allopathic & Osteopathic Physicians |
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 |
Street Address |
919 NORTHLAND DR |
City | PRINCETON |
State | MN |
Zip Code | 55371-2172 |
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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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 |
Find all providers in zip 55371 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
Find all providers in PRINCETON |
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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.