PAUL PETERSON (NPI# 1134769979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134769979 |
| Entity Type | Individual |
| Full Name | PAUL PETERSON |
| Practice Address |
4314 45th St N Fargo ND 58102-6915 |
| Practice Telephone | 7018509229 |
| Mailing Telephone | 7018509229 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | ND | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1468840 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013304500 | Paul Carlton Peterson | Home Health Aide | 712 4th St Ne, Washington, DC 20002-4316 | 2015-04-22 |
| 1083902126 | Paul H Peterson | Podiatrist | 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | 2011-07-11 |
| 1245498971 | Paul Stephen Peterson | Physician Assistant | 5731 Silverstone Ter Ste 100, Colorado Springs, CO 80919-3594 | 2008-05-29 |
| 1285752642 | Paul Arthur Peterson | Specialist/Technologist | 46400 Algonkian Pkwy, Potomac Falls, VA 20165-6487 | 2007-03-26 |
| 1528114667 | Paul Joseph Peterson | Social Worker | 1459 N Main St Ste 100, Bountiful, UT 84010-6092 | 2007-01-25 |
| 1194876672 | Paul Gabriel Peterson | Student in an Organized Health Care Education/Training Program | Wramc Department of Radiology, 6900 Georgia Ave. Nw, Bldg. 2, Washington, DC 20307-0001 | 2007-01-13 |
| 1972678993 | Paul Stanley Peterson | Chiropractor | 4616 El Camino Ave, Sacramento, CA 95821-6736 | 2006-11-22 |
| 1275646465 | Paul J Peterson | Social Worker | 102 Southend Dr, Dayton, NV 89403-7414 | 2006-08-15 |
| 1326013426 | Paul D Peterson | Family Medicine | 2600 Outer Dr N, Sioux City, IA 51104-1585 | 2006-02-22 |
| 1861494486 | Paul D Peterson | Internal Medicine | 2207 S Clear Creek Rd, Ste 304, Killeen, TX 76549-4132 | 2005-08-12 |
| Street Address |
4314 45TH ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407271448 | Renita Neppl | Non-emergency Medical Transport (VAN) | 2626 S Bay Dr S, Fargo, ND 58103-5062 | 2014-02-27 |
| 1043427859 | Handi-wheels Transportation, Inc | Non-emergency Medical Transport (VAN) | 2525 Broadway N Ste 2, Fargo, ND 58102-1439 | 2007-05-17 |
| 1649493248 | Any Time Transportation | Non-emergency Medical Transport (VAN) | 1107 1st Ave S, Fargo, ND 58103-1744 | 2007-04-11 |
| 1093239931 | Fm Ambulance Service, Inc | Non-emergency Medical Transport (VAN) | 2215 18th St S, Fargo, ND 58103-5105 | 2017-08-02 |
| 1710423868 | Maxime & Co. | Non-emergency Medical Transport (VAN) | 313 Broadway N, Fargo, ND 58102-4714 | 2017-01-12 |
| 1164872628 | Fm Mobility Care | Non-emergency Medical Transport (VAN) | 1336 25th Ave S Ste 213, Fargo, ND 58103-5202 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366955593 | Miriam Gikiri | Non-emergency Medical Transport (VAN) | 1465 Roughrider Blvd Apt 212, Dickinson, ND 58601-6775 | 2017-11-09 |
| 1619338100 | Golden Valley/billings County Council On Aging | Non-emergency Medical Transport (VAN) | 71 South Central, Beach, ND 58621-0434 | 2016-03-11 |
| 1427454214 | Southwest Transportation Services | Non-emergency Medical Transport (VAN) | 18 11th Ave Sw, #1, Bowman, ND 58623-4610 | 2014-11-06 |
| 1093114233 | South Central Adult Services | Non-emergency Medical Transport (VAN) | 139 2nd Ave Se, Valley City, ND 58072-3445 | 2014-08-13 |
| 1457769994 | Kenmare Wheels & Meals, Inc. | Non-emergency Medical Transport (VAN) | 221 North Central Avenue, Kenmare, ND 58746-0481 | 2014-07-29 |
| 1912139163 | Northern Valley Transport | Non-emergency Medical Transport (VAN) | 1784 Buffalo Ave, Grand Forks, ND 58203-9610 | 2009-08-20 |
| 1265601694 | Dayrides of Nd Inc | Non-emergency Medical Transport (VAN) | 1037 Lake Av, Bismarck, ND 58504 | 2008-02-29 |
| 1770761991 | City of Hazen | Non-emergency Medical Transport (VAN) | 146 East Main, Hazen, ND 58545-0717 | 2008-02-11 |
| 1104042266 | Aberdeen Area Tribal Chairmans Health Board | Non-emergency Medical Transport (VAN) | 303 Bellisle, St Michael, ND 58370 | 2007-04-17 |
| 1821622010 | Spirit Lake Tribe | Non-emergency Medical Transport (VAN) | 3883 74th Ave Ne, Fort Totten, ND 58335-0309 | 2020-02-26 |
| 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.