MICHAEL PETERSON (NPI# 1114911831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114911831 |
| Entity Type | Individual |
| Full Name | MICHAEL PETERSON |
| Credential | MD |
| Practice Address |
700 W Kent Ave Missoula MT 59801-6772 |
| Mailing Address |
700 W Kent Ave Po Box 4907 Missoula MT 59801-6772 |
| Practice Telephone | 4065413937 |
| Practice Fax Number | 4065411810 |
| Mailing Telephone | 4065413937 |
| Mailing Fax Number | 4065411810 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2010-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 6492 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 081471 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
| 1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
| 1750651113 | Michael Peterson | Social Worker | 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 | 2012-01-03 |
| 1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
| 1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
| 1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
| 1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
| 1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
| 1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
| Street Address |
700 W KENT AVE |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-6772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164416038 | Roger Furlong | Ophthalmology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2005-09-07 |
| 1073028213 | Ty William Felton | Optometrist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2017-12-11 |
| 1245756253 | Kevin David Duffy | Audiologist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2017-08-21 |
| 1003292277 | Kasey Brickey | Audiologist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2015-08-10 |
| 1760814404 | Wade A Everett | Technician/Technologist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2013-08-05 |
| 1720346844 | Jonathan William Fowlkes | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2012-04-26 |
| 1205106234 | Thomas Clark Hoshaw | Otolaryngology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2012-01-06 |
| 1134451487 | Jacek Kotowski | Ophthalmology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2010-02-10 |
| 1023229762 | Chad Michael Nedrud | Ophthalmology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2007-05-24 |
| 1134281876 | Joy Lee Frantz | Audiologist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861543712 | Scott M Guess | Ophthalmology | 700 W. Kent, Missoula, MT 59801-6700 | 2007-01-16 |
| 1528052305 | John Salisbury | Ophthalmology | 700 West Kent, Missoula, MT 59806-4907 | 2005-09-07 |
| 1164416038 | Roger Furlong | Ophthalmology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2005-09-07 |
| 1134451487 | Jacek Kotowski | Ophthalmology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2010-02-10 |
| 1023229762 | Chad Michael Nedrud | Ophthalmology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2007-05-24 |
| 1063634145 | Montana Valley Eye Clinic, Pllc | Ophthalmology | 601 W Spruce St, Ste E, Missoula, MT 59802-4057 | 2007-05-02 |
| 1003984303 | Rick Don Neumeister | Ophthalmology | 601 W Spruce St, Ste E, Missoula, MT 59802 | 2006-12-04 |
| 1669573713 | David P Mccann | Ophthalmology | 700 West Kent, Missoula, MT 59801-6700 | 2006-09-25 |
| 1205822855 | Todd Murdock | Ophthalmology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2005-09-20 |
| 1902891286 | Brian Douglas Sippy | Ophthalmology | 700 W Kent Ave, Missoula, MT 59801-6772 | 2005-09-13 |
| Find all providers in MISSOULA | ||||
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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.