TODD B PETERSON (NPI# 1316154636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316154636 |
| Entity Type | Individual |
| Full Name | TODD B PETERSON |
| Credential | MD |
| Practice Address |
619 19th St S Birmingham AL 35249-1900 |
| Mailing Address |
522 Durham Dr Birmingham AL 35209-4410 |
| Practice Telephone | 2059343604 |
| Mailing Telephone | 2052233574 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 28731 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 511-06626 | 01 |
| AL | BCBS | 511-10425 | 01 |
| AL | VIVA HEALTH | Z09386 | 01 |
| AL | 121995 | 05 | |
| AL | 123247 | 05 | |
| AL | TRICARE SOUTH | 1316154636 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336580893 | Todd William Hathaway Peterson | Chiropractor | 954 W Washington Blvd Ste 610, Chicago, IL 60607-2293 | 2013-07-12 |
| 1083651731 | Todd G Peterson | Anesthesiology | 6247 E. Main Street, Suite 8, Mesa, AZ 85205 | 2006-06-01 |
| 1023012408 | Todd Victor Peterson | Family Medicine | 12 St Paul Dr Ste 203, Chambersburg, PA 17201-1035 | 2005-06-13 |
| 1821412826 | Todd H Peterson | Specialist/Technologist | 584 County Line Rd W, Westerville, OH 43082-7245 | 2014-02-11 |
| 1407085103 | Todd Charles Peterson | Orthopaedic Surgery | 12499 University Ave, Clive, IA 50325-8288 | 2009-07-02 |
| 1790828531 | Todd Peterson | Physical Therapy Assistant | 120 Erie Canal Dr, Rochester, NY 14626-4607 | 2007-02-14 |
| 1386640548 | Todd Bailey Peterson | Surgery | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2005-06-22 |
| Street Address |
619 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838505 | Peggy Calhoun Wilson | Pharmacist | 619 19th St S, Birmingham, AL 35249-1900 | 2005-06-01 |
| 1922607548 | Breck Fowler Hamilton | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-24 |
| 1477152650 | Brandi Bailey | Nurse Practitioner | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-20 |
| 1003415456 | Shannon Marie Harrison | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-17 |
| 1720685886 | Aeriel Flippo Swinsick | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-02 |
| 1477160604 | Lundy Starke Williams | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-01 |
| 1003422320 | Leah York | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-09-22 |
| 1972123420 | William Chase Cooper | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-04-24 |
| 1699394494 | Eme Unanaowo | Registered Nurse | 619 19th St S, Spain Wallace Bldg, Birmingham, AL 35233-1900 | 2020-04-11 |
| 1285253369 | Robert Chase Ruffo | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245768316 | Ashton Elisabeth Kilgore | Emergency Medicine | 618 20th St South Suite 251, Birmingham, AL 35249-4756 | 2017-06-01 |
| 1568998169 | Hannah Obayangban | Emergency Medicine | 801 Princeton Ave Sw Ste 101, Birmingham, AL 35211-1306 | 2017-05-03 |
| 1831518943 | Rene Thomas Schexnaildre Jr. | Emergency Medicine | 7191 Cahaba Valley Rd Ste 108, Birmingham, AL 35242-6461 | 2014-04-16 |
| 1205197951 | Northwest Emergency Physician Group | Emergency Medicine | 624 28th St N, Birmingham, AL 35203 | 2012-05-30 |
| 1952690950 | Christina Helen Cooley | Emergency Medicine | 619 19th St N, Birmingham, AL 35249-0001 | 2011-03-31 |
| 1013236975 | Elizabeth Holcombe Adams | Emergency Medicine | 218 Devon Dr, Birmingham, AL 35209 | 2010-05-18 |
| 1982838181 | William F Rushton | Emergency Medicine | 619 19th St S # 251, Birmingham, AL 35249-7013 | 2009-05-04 |
| 1295977346 | Timothy Scott Turner | Emergency Medicine | 810 St Vincents Birmingham Dr, Birmingham, AL 35205 | 2009-04-02 |
| 1174779003 | Nicole Eleana Jones | Emergency Medicine | 1600 7th Ave S Ste 110, Birmingham, AL 35233-1711 | 2008-08-12 |
| 1124228911 | Jenna Lynn Johnson | Emergency Medicine | 1041 Ashmore Ln, Birmingham, AL 35242-2464 | 2007-07-20 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35249 |
Please comment or provide details below to improve the information on TODD B 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.