DR. RONALD DANIEL PETERSON (NPI# 1063592848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063592848 |
| Entity Type | Individual |
| Full Name | DR. RONALD DANIEL PETERSON |
| Credential | DC |
| Practice Address |
10135 Hwy Ss Bloomer WI 54724 |
| Practice Telephone | 7155681251 |
| Practice Fax Number | 7155681252 |
| Mailing Telephone | 7155681251 |
| Mailing Fax Number | 7155681252 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1900 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BLUE CROSS | 481291951010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891064226 | Ronald Gene Peterson Jr. | Chiropractor | 815 Lincoln Hwy Ste 101, Fairview Heights, IL 62208-2230 | 2011-12-13 |
| 1205143948 | Ronald James Peterson | Chiropractor | 731 S Colorado St, Lockhart, TX 78644-3103 | 2010-09-01 |
| 1639371099 | Ronald Iver Peterson | General Practice | 6025 Country Club Oaks Place, Omaha, NE 68152-2009 | 2007-06-05 |
| 1356410799 | Ronald Leon Peterson | Physical Therapist | 116 Valley View Cir, Phoenixville, PA 19460-3185 | 2006-11-07 |
| 1477533586 | Ronald Todd Peterson | Emergency Medicine | 2615 Eye St, Bakersfield, CA 93301-2006 | 2006-01-17 |
| 1891875316 | Ronald Peterson | Social Worker | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2006-10-17 |
| 1174614457 | Ronald Gregory Peterson | Obstetrics & Gynecology | 6569 N Charles St, Ste 307, Baltimore, MD 21204-6831 | 2006-09-28 |
| 1609980473 | Ronald M Peterson | Family Medicine | 301 Knapp St, Wolf Point, MT 59201-1826 | 2006-08-18 |
| 1609827781 | Ronald J. Peterson | Specialist | 801 Nicollet Mall, Suite 400, Minneapolis, MN 55402-2500 | 2006-05-13 |
| 1376592840 | Ronald D. Peterson | Specialist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2006-05-10 |
| Street Address |
10135 HWY SS |
| City | BLOOMER |
| State | WI |
| Zip Code | 54724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609956481 | Timothy John Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1982773867 | Peterson Chiropractic Clinic Ltd | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093064545 | Robin Lachance | Physical Therapy Assistant | 1731 17th Avenue, Bloomer, WI 54724 | 2012-08-30 |
| 1104051614 | Nancy L Stiehm | Home Health Aide | 721 Priddy St, Bloomer, WI 54724 | 2009-05-28 |
| 1508013566 | Dianne Marie Goettl | Reflexologist | 1610 Main Street, Bloomer, WI 54724 | 2008-08-21 |
| 1427058122 | Ronald J Reimer | Physician Assistant | 1501 Thompson St, Bloomer, WI 54724 | 2005-07-26 |
| 1851827752 | Kimberly Carol Nicolai | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724 | 2017-05-11 |
| 1639430788 | Celestine Chukwunonso Odenigbo | Internal Medicine | 1501 Thompson St, Bloomer, WI 54724 | 2012-06-05 |
| 1124250436 | Tania Riske | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724 | 2009-08-20 |
| 1922230259 | Amy Sue Hilbert | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724 | 2009-08-20 |
| 1659527281 | Janki Natu Patel | Internal Medicine | 1501 Thompson St, Bloomer, WI 54724 | 2008-08-14 |
| 1215100730 | Darcy Lynette Vrieze | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724 | 2008-04-04 |
| Find all providers in zip 54724 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891986501 | Keith Allen Levick | Chiropractor | 1706 York St, Suite 5, Bloomer, WI 54724-1920 | 2007-08-07 |
| 1609956481 | Timothy John Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1952309205 | John George Rutsch | Chiropractor | 1217 14th Ave, Bloomer, WI 54724-1606 | 2005-07-11 |
| 1518526813 | Bloomer Chiropractic LLC | Chiropractor | 1217 14th Ave, Bloomer, WI 54724-1606 | 2019-06-10 |
| 1811551823 | Sabra Meinen | Chiropractor | 1217 14th Ave, Bloomer, WI 54724-1606 | 2019-04-24 |
| 1447492319 | Flynn Chiropractic, LLC | Chiropractor | 1518 Main St, Bloomer, WI 54724-1639 | 2009-03-24 |
| 1780851279 | Active Chiropractic LLC | Chiropractor | 1706 York St, Suite 5, Bloomer, WI 54724-1920 | 2008-05-13 |
| 1780748186 | Bloomer Chiropractic Office, Inc. | Chiropractor | 1217 14th Ave, Suite B, Bloomer, WI 54724-1606 | 2006-12-20 |
| 1982773867 | Peterson Chiropractic Clinic Ltd | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567668 | Zachary Arnold Wickert | Chiropractor | N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 | 2020-10-28 |
| 1215537501 | Seek Chiropractic LLC | Chiropractor | 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 | 2020-10-27 |
| 1043819824 | Courtney Helen Slaby | Chiropractor | 559 Braund St Ste 3, Onalaska, WI 54650-8659 | 2020-10-22 |
| 1548869423 | Journey Chiropractic LLC | Chiropractor | 101 E Sadd St, North Prairie, WI 53153-9775 | 2020-10-21 |
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1366049793 | Phoenix Chiropractic and Wellness, LLC | Chiropractor | 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 | 2020-10-08 |
| 1598371668 | Michael Allen Markowski | Chiropractor | 1632 N 18th St # 1, Manitowoc, WI 54220-1858 | 2020-09-23 |
| 1801408687 | Chiro One Wellness Center of Pleasant Prairie LLC | Chiropractor | 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | 2020-08-21 |
| 1972115186 | Shelby Chapelle | Chiropractor | 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 | 2020-08-19 |
| 1659981801 | Reince Chiropractic LLC | Chiropractor | 13382 Velp Ave Ste A, Suamico, WI 54313-8191 | 2020-08-03 |
| 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.