JAIME M PETERSON


Address: 1836 South Ave, La Crosse, WI 54601-5429
Phone: 6087827300

JAIME M PETERSON (NPI# 1164427548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164427548
Entity Type Individual
Full Name JAIME M PETERSON
Credential PA
Practice Address 1836 South Ave
La Crosse
WI 54601-5429
Practice Telephone 6087827300
Mailing Telephone 6087827300
Enumeration Date 2005-06-14
Last Update Date 2015-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
2124 IA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
1685 WI Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1685 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 41984800 05

Other Providers JAIME PETERSON

NPI Name Taxonomy Address Enumeration
1770871006 Jaime Lynne Peterson Dentist 38 Orange St, Asheville, NC 28801-2341 2011-07-20
1619084555 Jaime Christine Peterson Psychologist 333 W. Drake Rd, Suite 270, Fort Collins, CO 80526 2006-08-24
1174134688 Jaime Lynn Peterson Pharmacist 1962 W 1800 N, Clinton, UT 84015-8328 2020-08-10
1760967848 Jaime Peterson Counselor 3710 N Monroe St, Spokane, WA 99205-2850 2018-09-25
1629334180 Jaime Wildman Peterson Pediatrics 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 2012-04-09

Office Location

Street Address 1836 SOUTH AVE
City LA CROSSE
State WI
Zip Code 54601-5429

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952304834 Susan G Maclellan-tobert Pediatrics 1836 South Ave, La Crosse, WI 54601-5429 2005-05-24
1861099590 Ellen Compton Dietitian, Registered 1836 South Ave, La Crosse, WI 54601-5429 2020-10-06
1699382630 Jedd Sebion Pharmacist 1836 South Ave, La Crosse, WI 54601-5429 2020-09-24
1104436351 Taryn Jean Simon Speech-Language Pathologist 1836 South Ave, La Crosse, WI 54601-5429 2020-08-03
1497376438 Eva Igler Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-30
1568083608 Benjamin Haase Thompson Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-29
1316568736 Eric Bobel Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-27
1134749708 Kristin Danielle Heslep Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-23
1982224598 Rebecca Stanek Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-23
1609496595 Marie Gilberte Cineus Student in an Organized Health Care Education/Training Program 1836 South Ave, La Crosse, WI 54601-5429 2020-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891324265 Meagan Mcrae Student in an Organized Health Care Education/Training Program 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 2020-04-07
1255969671 Erin Dingman Student in an Organized Health Care Education/Training Program 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 2020-03-31
1619505047 Nicole Kay Lynch Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 2020-03-31
1174151757 Jenna Sells Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1740818301 Katie Irene Tahtinen Student in an Organized Health Care Education/Training Program Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 2020-03-30
1932737517 Margaret May Grimm Student in an Organized Health Care Education/Training Program Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1831727312 Matthew Timothy Axler Student in an Organized Health Care Education/Training Program 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 2020-03-30
1093340473 Denise Stinson Technician 1311 Badger St, Apt 505, La Crosse, WI 54601 2020-03-06
1922632397 Ibrahim Ahsan Pharmacist 1105 Wi-16, La Crosse, WI 54601 2020-02-25
1750913356 Liza R Collins Massage Therapist 1415 State Wi 16, La Crosse, WI 54601 2020-02-11
Find all providers in zip 54601

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548264989 Jeffrey W Mueller Physician Assistant 1526 Rose St, La Crosse, WI 54603-2245 2005-06-13
1790313625 Brian J Sesolak Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2020-03-27
1609403856 Stephanie Erin Doyle Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2020-03-26
1609439983 Hannah Mickelson Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2019-04-22
1164985867 Kimberly Rose Mrozek Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2019-04-09
1043777584 Cullen Richard Vos Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2019-02-20
1346706660 Landon Bresina Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2019-02-11
1184194706 Aubrey Wesely Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2018-11-26
1033687488 Brittany Zinnel Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2018-11-04
1659851376 Jennifer Ann Fassbinder Physician Assistant 1836 South Ave, La Crosse, WI 54601-5429 2018-08-21
Find all providers in LA CROSSE

Competitor

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City LA CROSSE
Zip Code 54601

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Dataset Information

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.

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