RODNEY HOLMES PETERSON (NPI# 1073526414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073526414 |
| Entity Type | Individual |
| Full Name | RODNEY HOLMES PETERSON |
| Credential | M.D. |
| Practice Address |
3250 W 66th St Suite 100 Edina MN 55435-2528 |
| Mailing Address |
6465 Wayzata Blvd Suite 900 St Louis Park MN 55426-1728 |
| Practice Telephone | 9529200970 |
| Practice Fax Number | 9529221605 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125650 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 16752 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUECROSS BLUESHIELD | 509S0PE | 01 | |
| PREFERREDONE | 969990831004 | 01 | |
| WISC MEDICAID | 30298200 | 01 | |
| MEDICA | 900732 | 01 | |
| HEALTHPARTNERS | HP14162 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225112311 | Rodney W Peterson | Chiropractor | 2800 S University Dr, Fargo, ND 58103-6030 | 2006-10-25 |
| Street Address |
3250 W 66TH ST SUITE 100 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063500 | Gitte Wengler | Pediatrics | 3250 W 66th St, Ste 210, Edina, MN 55435-2526 | 2005-06-16 |
| 1194967398 | John A. Haugen Associates, P.a. | Specialist | 3250 W 66th St, Suite 200, Edina, MN 55435-2528 | 2009-04-02 |
| 1326113028 | Maria Cristina Ramos | Specialist/Technologist, Other | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-11-21 |
| 1033212584 | Jennifer Ann Goudy | Specialist/Technologist, Other | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-09-07 |
| 1942303854 | David Russell Olson | Orthopaedic Surgery | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-09-06 |
| 1245349455 | Julie Ann Stauffer | Occupational Therapist | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-08-30 |
| 1255440764 | Desiree Marie Kempcke | Orthopaedic Surgery | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-08-29 |
| 1194831701 | John George Muelken | Physician Assistant | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-08-23 |
| 1326154931 | Frank Brian Norberg | Orthopaedic Surgery | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-08-23 |
| 1467465807 | John Robert Kearns | Orthopaedic Surgery | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407155054 | Paul T. Wicklund, M.d., P.a. | Orthopaedic Surgery | 6545 France Ave S Ste 363, Edina, MN 55435-2121 | 2011-03-22 |
| 1245486612 | Erich Gauger | Orthopaedic Surgery | Sports and Orthopaedic Specialists, 8100 W 78th St Suite 230, Edina, MN 55439 | 2008-08-17 |
| 1447415161 | Geoffrey Dee Cornelsen | Orthopaedic Surgery | 5160 Lincoln Dr, Edina, MN 55436-1010 | 2008-07-22 |
| 1568532190 | Orthopedic Specialists, P.a. | Orthopaedic Surgery | 6600 France Ave S Ste 605, Edina, MN 55435-1807 | 2006-11-09 |
| 1689646853 | Vinton Douglas Pierce Jr. | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2006-02-02 |
| 1164022059 | Fernando Cepollina Raduan | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-29 |
| 1366856445 | William Engasser | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2014-06-17 |
| 1194135863 | Ryan Joseph Hoel | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2014-05-04 |
| 1801239249 | Joseph Denis Schirmers | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2013-04-16 |
| 1780942631 | John David Breen | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439 | 2012-04-29 |
| Find all providers in EDINA | ||||
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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.