ROBERT L PETERSON (NPI# 1124129754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124129754 |
| Entity Type | Individual |
| Full Name | ROBERT L PETERSON |
| Credential | M.D. |
| Practice Address |
6725 Sw 29th St Topeka KS 66614-5625 |
| Practice Telephone | 7854781500 |
| Practice Fax Number | 7854781508 |
| Mailing Telephone | 7854781500 |
| Mailing Fax Number | 7854781508 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 04-12948 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | 106215 | 01 |
| KS | 100193590B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902206683 | Robert Peterson | Otolaryngology | 3921 E Nora Cir, Mesa, AZ 85215-1077 | 2014-08-29 |
| 1255605911 | Robert Dennis Peterson | Acupuncturist | 1214 S Alma St, #5, San Pedro, CA 90731-3949 | 2012-02-28 |
| 1295006419 | Robert Michael Peterson Jr. | Dentist | 747 W. Devon, Park Ridge, IL 60068 | 2012-01-19 |
| 1871822361 | Robert Curt Peterson | Psychologist | 5041 Warm Springs Rd Ste C, Columbus, GA 31909-6938 | 2009-12-14 |
| 1285849067 | Robert Kenneth Peterson | Licensed Practical Nurse | 5979 Renner Rd, Columbus, OH 43228-9588 | 2007-05-14 |
| 1467581025 | Robert Jason Peterson | Preventive Medicine | 1614 Wrightstown Rd, Newtown, PA 18940-2814 | 2007-03-02 |
| 1437294923 | Robert Schaefer Peterson | Psychologist | 865 Hilltop Road, Erie, PA 16509-2153 | 2007-02-21 |
| 1518010636 | Robert Lee Peterson | Case Manager/Care Coordinator | 915 S Mckinley St, Casper, WY 82601-3440 | 2007-01-19 |
| 1720144876 | Robert Lester Peterson | Family Medicine | 900 Riverside Dr, Suite IIi, Waupaca, WI 54981-1983 | 2006-12-30 |
| 1982768040 | Robert James Peterson | Optometrist | 4306 W Crystal Lk Road, Mchenry, IL 60050-4294 | 2006-12-21 |
| Street Address |
6725 SW 29TH ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66614-5625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073597225 | Gerard Coulon | General Practice | 6725 Sw 29th St, Topeka, KS 66614-5625 | 2005-12-01 |
| 1750721957 | Krista A. Purcell | Nurse Practitioner | 6725 Sw 29th St, Topeka, KS 66614-5625 | 2013-07-02 |
| 1295006096 | Jessica Love | Nurse Practitioner | 6725 Sw 29th St, Topeka, KS 66614-5625 | 2012-01-25 |
| 1699866129 | Cynthia A Brandau | Nurse Practitioner | 6725 Sw 29th St, Topeka, KS 66614-5625 | 2006-09-28 |
| 1245249051 | Joy L Henderson | Family Medicine | 6725 Sw 29th St, Topeka, KS 66614-5625 | 2006-08-08 |
| 1881617033 | Lee R Schnee | Family Medicine | 6725 Sw 29th St, Topeka, KS 66614-5625 | 2006-07-26 |
| 1366400632 | George H. Evans | Family Medicine | 6725 Sw 29th St, Topeka, KS 66614-5625 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205356516 | James Michael Mcgill | Counselor | 2121 Sw Chelsea Dr., Topeka, KS 66614 | 2017-06-27 |
| 1366988339 | Tracy Sprague | Nurse Practitioner | 2655 Sw Wanamaker, Topeka, KS 66614 | 2017-01-13 |
| 1336518976 | Pearlie Mae's Compassion and Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2956 Sw Seabrook Ave, Topeka, KS 66614 | 2015-09-24 |
| 1124424924 | Sunflower Smiles Pediatric Dentistry | Dentist | 3635 Sw Fairlawn Road, Suite 1, Topeka, KS 66614 | 2014-11-06 |
| 1902200371 | Katie Lynn Schippers | Pharmacist | 55311 Sw 22nd Pl, Topeka, KS 66614 | 2014-10-14 |
| 1457767105 | Eugene Curtis | Dentist | 2221 Sw Auburn Rd, Topeka, KS 66614 | 2014-07-02 |
| 1538583190 | Arnold V. Mueller | Internal Medicine | 2737 S.w. Bluestem Dr., Topeka, KS 66614 | 2014-02-18 |
| 1477991610 | Robert Roy Payne | Orthopaedic Surgery | 2403 Southwest Brookhaven Lane, Robert R. Payne, M.d, Topeka, KS 66614 | 2013-06-10 |
| 1134425556 | Dale Lake | Case Manager/Care Coordinator | 2706 Sw Tutbury Town Rd, Topeka, KS 66614 | 2011-02-02 |
| 1013248558 | Aline Boutz | Assisted Living Facility | 7720 Sw Asbury Dr, Topeka, KS 66614 | 2010-01-22 |
| Find all providers in zip 66614 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427470087 | Chs Health Services, LLC | General Practice | 2000 Nw Us Highway 24, Topeka, KS 66618-1445 | 2014-01-15 |
| 1639436520 | James Philip Hostetter | General Practice | 3811 Sw Wood Valley Drive, Topeka, KS 66610-1124 | 2012-04-16 |
| 1073597225 | Gerard Coulon | General Practice | 6725 Sw 29th St, Topeka, KS 66614-5625 | 2005-12-01 |
| 1538610407 | Freedom Behavioral Hospital of Topeka, LLC | General Practice | 1334 Sw Buchanan St, Topeka, KS 66604-2813 | 2016-10-17 |
| 1447444518 | St Francis Medical Clinic | General Practice | 6001 Sw 6th Ave, Suite 320, Topeka, KS 66615-1011 | 2007-08-31 |
| 1316053713 | Sheue-huey Lai | General Practice | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-08-21 |
| 1902835390 | Ching-yi Yu | General Practice | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437419 | Lewis H. Roht | General Practice | 12512 High Drive, Leawood, KS 66209-1341 | 2020-04-27 |
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1508360405 | Landmark Medical of Kansas Pa | General Practice | 5350 College Blvd Ste 122, Overland Park, KS 66211-1633 | 2018-03-23 |
| 1902342892 | Drsalliance LLC | General Practice | 13968 Santa Fe Trail Dr, Lenexa, KS 66215-3382 | 2017-01-16 |
| 1114470010 | St Catherine Hospital | General Practice | 2051 E Mary St, Garden City, KS 67846-3617 | 2016-07-27 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1245631100 | James Berry | General Practice | 10821 S Whitetail Ln, Olathe, KS 66061-9395 | 2014-09-10 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1417211665 | James M Stanford | General Practice | 202 S Frisco St, Coldwater, KS 67029-9101 | 2012-07-02 |
| 1407144058 | Healing Waters Wichita Lc | General Practice | 2000 N Rock Rd, Suite 100, Wichita, KS 67206-1201 | 2011-07-18 |
| 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.