DR. JONATHAN BRADLEY PETERSON (NPI# 1245491182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245491182 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BRADLEY PETERSON |
| Credential | M.D. |
| Practice Address |
1836 South Ave La Crosse WI 54601 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 71982 | WI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | A124381 | CA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | R-8448 | IA | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
13271 | ND | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 25th St S, Fargo, ND 581036104 | 7012348770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093948614 | Jonathan Ryan Peterson | Dentist | 800 W Chandler Blvd Ste 1, Chandler, AZ 85225-2508 | 2009-08-30 |
| 1013129857 | Jonathan J Peterson | Chiropractor | 3076 E. Chandler Heights Rd., Suite 107, Gilbert, AZ 85298 | 2007-05-04 |
| 1659450005 | Jonathan Bernt Peterson | Family Medicine | 8500 W Colfax Ave, Lakewood, CO 80215-4011 | 2006-11-06 |
| 1124641071 | Jonathan Peterson | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-05-27 |
| 1609360247 | Jonathan C Peterson | Behavior Technician | 9500 Annapolis Rd Ste B2, Lanham, MD 20706-2062 | 2018-06-18 |
| 1457705386 | Jonathan Richard Peterson | Orthopaedic Surgery | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1053535930 | Jonathan Paul Peterson | Pediatrics | 15 S 1000 E, Suite 200, Payson, UT 84651-5590 | 2007-04-12 |
| 1003882010 | Jonathan Peterson | Psychiatry & Neurology | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2006-02-28 |
| Street Address |
1836 SOUTH AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601 |
| 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 |
| Find all providers in the same location | ||||
| 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 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 |
|---|---|---|---|---|
| 1811309131 | Kristin E Karim | Orthopaedic Surgery | 700 West Ave S, La Crosse, WI 54601-4783 | 2014-05-21 |
| 1437590882 | Nathan Dale Johnson | Orthopaedic Surgery | 800 West Ave S, La Crosse, WI 54601 | 2013-07-15 |
| 1346583200 | Kariline Elizabeth Bringe | Orthopaedic Surgery | 800 West Ave S, La Crosse, WI 54601 | 2013-03-28 |
| 1639337397 | Scott Robert Bassuener | Orthopaedic Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2008-05-29 |
| 1669488144 | Russell J. Norris | Orthopaedic Surgery | 1900 South Ave, La Crosse, WI 54601-5467 | 2006-08-01 |
| 1316982390 | Steven M Klein | Orthopaedic Surgery | 1836 South Ave, Mail Stop C02-003, La Crosse, WI 54601-5429 | 2006-06-16 |
| 1275599664 | Scott A Kuzma | Orthopaedic Surgery | 700 West Ave S, La Crosse, WI 54601 | 2006-04-25 |
| 1386618916 | Mark S Topolski | Orthopaedic Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-02-13 |
| 1972593481 | Charles P Nolte | Orthopaedic Surgery | 800 West Ave S, La Crosse, WI 54601-8806 | 2005-10-26 |
| 1548250087 | John E Morrissey | Orthopaedic Surgery | 800 West Ave S, La Crosse, WI 54601-8806 | 2005-10-26 |
| Find all providers in LA CROSSE | ||||
Please comment or provide details below to improve the information on DR. JONATHAN BRADLEY PETERSON.
| 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.