JORDAN DANE PETERSON (NPI# 1306228366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306228366 |
| Entity Type | Individual |
| Full Name | JORDAN DANE PETERSON |
| Credential | M.D. |
| Practice Address |
1415 Woodland Ave Ste 140 Des Moines IA 50309-3203 |
| Practice Telephone | 5152415995 |
| Practice Fax Number | 5152416576 |
| Mailing Telephone | 5152415995 |
| Mailing Fax Number | 5152416576 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | R-10359 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538170 | Jordan B Peterson | Physical Therapist | 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 | 2020-08-13 |
| 1306454079 | Jordan Marie Peterson | Pharmacist | 737 W 12th St, Grafton, ND 58237-2117 | 2020-07-20 |
| 1124650171 | Jordan Peterson | Student in an Organized Health Care Education/Training Program | 509 University Dr, Eau Claire, WI 54701 | 2020-02-07 |
| 1003457466 | Jordan Matthew Peterson | Chiropractor | 103 N 1st St, Elma, WA 98541-9854 | 2019-10-07 |
| 1588129423 | Jordan Peterson | Physician Assistant | 1010 4th St Sw Ste 105, Mason City, IA 50401-2856 | 2019-02-05 |
| 1407396476 | Jordan Peterson | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2017-02-24 |
| 1609325828 | Jordan Peterson | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2016-09-28 |
| 1851847578 | Jordan Peterson | Psychologist | 500 South Navajo Drive, Page, AZ 86040 | 2016-09-01 |
| 1861767469 | Jordan Anne Peterson | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2012-03-14 |
| Street Address |
1415 WOODLAND AVE STE 140 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780066746 | Ashley Priaulx | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2015-06-25 |
| 1982229845 | Zachary John Bliek | Podiatrist | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-16 |
| 1881219517 | Stephen Davick | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-09 |
| 1316562069 | Keith Louis Spinali | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-09 |
| 1689298564 | Nicholas Stoyles | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-05 |
| 1356965222 | Zoe Mccracken-schroeder | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-05 |
| 1588288443 | Levi Goff | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-05 |
| 1801410766 | Jason Hofferber | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-05 |
| 1437773314 | Sarah Wyler | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-05 |
| 1518581479 | Autumn Krcil | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588226104 | Laura Sue Kersey | Internal Medicine | 1212 Pleasant St Ste 110, Des Moines, IA 50309-1410 | 2019-07-03 |
| 1669948568 | Parabolic Health Pllc | Internal Medicine | 19809 8th Ave S, Des Moines, WA 98148-2246 | 2018-10-17 |
| 1245764752 | Joel Fuchs | Internal Medicine | 3600 30th St # 451, Des Moines, IA 50310-5753 | 2017-04-12 |
| 1780066746 | Ashley Priaulx | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2015-06-25 |
| 1306238605 | Greggory Stan Flint | Internal Medicine | 1215 Pleasant St Ste 400, Des Moines, IA 50309-1418 | 2015-02-23 |
| 1245632298 | Progenity Whole Health Inc. | Internal Medicine | 95 University Ave Ste 1, Des Moines, IA 50314-3120 | 2014-09-22 |
| 1700147378 | Chan H Park | Internal Medicine | 22226 Cliff Ave S, #304, Des Moines, WA 98198-4619 | 2012-05-30 |
| 1417214321 | Leah Jeanine Brandon | Internal Medicine | 330 Laurel St Ste 2100, Des Moines, IA 50314-3068 | 2012-04-16 |
| 1417244542 | Rossana M Rosa Espinoza | Internal Medicine | 1221 Pleasant St Ste 300, Des Moines, IA 50309-1426 | 2011-07-10 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
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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.