DR. EMILY ANN PETERSON (NPI# 1306019328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306019328 |
| Entity Type | Individual |
| Full Name | DR. EMILY ANN PETERSON |
| Credential | MD |
| Practice Address |
100 Radnor Rd Suite 101 State College PA 16801-7986 |
| Mailing Address |
100 Radnor Rd Ste 101 State College PA 16801-7986 |
| Practice Telephone | 8142317878 |
| Practice Fax Number | 8142371034 |
| Mailing Telephone | 8142317878 |
| Mailing Fax Number | 8142371034 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | MD429105 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD429105 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535081 | Emily Peterson | Massage Therapist | 23671 Saint Francis Blvd Nw Ste 102, Saint Francis, MN 55070-9803 | 2019-12-18 |
| 1457828881 | Emily Rachael Peterson | Massage Therapist | 3743 Kennedy Pl, Williamsburg, MI 49690-8615 | 2018-10-24 |
| 1124402631 | Emily Peterson | Pharmacist | 200 Hawkins Drive Cc101, Iowa City, IA 52242-1009 | 2015-07-14 |
| 1336278522 | Emily Peterson | Physical Therapist | 811 Brown School Road, Evansville, WI 53536 | 2007-03-05 |
| 1649889114 | Emily Peterson | Speech-Language Pathologist | 410 S Hickory St, Stillman Valley, IL 61084-8803 | 2020-07-30 |
| 1780292672 | Emily May Peterson | Physical Therapy Assistant | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2020-07-17 |
| 1134756729 | Emily Alexandra Peterson | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Family Medicine, Los Angeles, CA 90095-7419 | 2020-03-24 |
| 1942849625 | Emily Jean Peterson | Counselor | 630 S 36th Ave, Wausau, WI 54401-3930 | 2019-12-30 |
| 1023594215 | Emily Jean Peterson | Chiropractor | 360 Sherman St Ste 400, Saint Paul, MN 55102 | 2018-07-11 |
| 1497249056 | Emily Peterson | Behavior Technician | 7010 Highway 7, St Louis Park, MN 55426-4223 | 2018-06-18 |
| Street Address |
100 RADNOR RD SUITE 101 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800501 | Philip L Rice | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Radnor Rd, Suite 201, State College, PA 16801-7986 | 2005-06-10 |
| 1972886018 | Eileen M. Maney | Physician Assistant | 100 Radnor Rd, Ste 101, State College, PA 16801-7986 | 2011-09-26 |
| 1417288606 | University Cardiothoracic and Vascular Associates, Inc | Surgery | 100 Radnor Rd, Suite 201, State College, PA 16801-7986 | 2010-01-27 |
| 1922066877 | Krystan N. Shimmel | Physician Assistant | 100 Radnor Rd, Ste 101, State College, PA 16801-7986 | 2006-05-02 |
| 1730142316 | Richard Hale PC | Internal Medicine | 100 Radnor Rd, State College, PA 16801-7986 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326698549 | Michael Shafran Do PC | Surgery | 2 Park Ln Fl 3, Feasterville Trevose, PA 19053-6004 | 2019-09-19 |
| 1255873915 | Lam Plastic Surgery LLC | Surgery | 848 Town Center Drive, Langhorne, PA 19047-3439 | 2016-11-12 |
| 1487029971 | Philip Lipkin | Surgery | 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 | 2015-12-09 |
| 1477865566 | Ralph W Hamilton | Surgery | 847 Willow Valley Lakes Dr, Willow Street, PA 17584-9040 | 2010-07-06 |
| 1770801870 | Irene Teting Ma | Surgery | 3550 Terrace St 664 Scaife Hall, Pittsburgh, PA 15261 | 2010-05-13 |
| 1649408162 | Michael David Lado | Surgery | 1828 Ridgewood Rd, Orwigsburg, PA 17961-9525 | 2009-06-23 |
| 1245490515 | Wellspan Medical Group | Surgery | 50 Wyntre Brooke Dr, York, PA 17403-4535 | 2008-06-11 |
| 1982813853 | Wellington Joseph Davis IIi | Surgery | 1210 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6229 | 2007-05-21 |
| 1043423502 | James William Slavin | Surgery | 8216 Cedar Rd., Elkins Park, PA 19027-2114 | 2007-05-08 |
| 1467679787 | Amelia Arianne Pare Md PC | Surgery | 123 Hidden Valley Rd, Mc Murray, PA 15317-2603 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on DR. EMILY ANN 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.