JEREMY CHARLES PETERSON (NPI# 1336400456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336400456 |
| Entity Type | Individual |
| Full Name | JEREMY CHARLES PETERSON |
| Credential | MD |
| Practice Address |
6325 Humphreys Blvd Memphis TN 38120-2300 |
| Practice Telephone | 9015222653 |
| Practice Fax Number | 9012592087 |
| Mailing Telephone | 9015222653 |
| Mailing Fax Number | 9012592087 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 94-07818 | KS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Kansas Hospital School Of, Dept. of Neurosurgery, 3901 Rainbow Blvd., Ms 3021, Kansas City, KS 661600001 | 9135886119 | 9135887570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043758378 | Jeremy Thomas Peterson | Physical Therapist | 104a Huffman Mill Rd, Burlington, NC 27215-5113 | 2017-02-07 |
| 1285713248 | Jeremy R Peterson | Chiropractor | 3200 Pine Lake Rd, Suite B, Lincoln, NE 68516-6035 | 2006-11-02 |
| 1275083149 | Jeremy Peterson | Community/Behavioral Health | 1412 140th Pl Ne, Bellevue, WA 98007-3915 | 2016-10-04 |
| 1528463882 | Jeremy Peterson | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2014-10-29 |
| 1043413214 | Jeremy John Peterson | Family Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-06-06 |
| Street Address |
6325 HUMPHREYS BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879584 | Robert E Laster Jr. | Radiology | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2005-05-24 |
| 1083276265 | John Payton Graves Jr. | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-07-08 |
| 1528525201 | Eric Goldberg | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-02-28 |
| 1306310230 | Mary Katherine Norris | Physician Assistant | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-01-14 |
| 1659844553 | Lisa Rogers | Nurse Practitioner | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2019-01-03 |
| 1033681283 | Kelli Chase Patrick | Registered Nurse | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2018-12-28 |
| 1215455639 | Melanie Laforce | Registered Nurse | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2017-09-06 |
| 1174047096 | Liwen Zhang | Physician Assistant | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2017-08-02 |
| 1770025751 | Jill Klosky | Physical Therapist | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2016-11-08 |
| 1023568953 | Joelle Harvey | Nurse Practitioner | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063744605 | Dee James Canale | Neurological Surgery | 4639 Peppertree Lane, Memphis, TN 38117-3920 | 2010-02-08 |
| 1598933301 | John Sloan Winestone | Neurological Surgery | 5270 Walnut Grove Rd, Memphis, TN 38120-1931 | 2008-02-14 |
| 1518950831 | Fereidoon Parsioon | Neurological Surgery | 5673 S Rex Rd, Memphis, TN 38119-3821 | 2005-08-23 |
| 1023011103 | Harry Friedman | Neurological Surgery | 920 Estate Dr, Suite 16, Memphis, TN 38119 | 2005-05-23 |
| 1932708054 | Healthcare Network Tennessee, Inc. | Neurological Surgery | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-10-20 |
| 1881094357 | Michael Labagnara | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2014-09-03 |
| 1265792576 | William E Humphries IIi | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2012-05-21 |
| 1194081232 | Kyle Anthony Smith | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2012-04-03 |
| 1104115385 | Aaron Bond | Neurological Surgery | 6325 Humphreys Blvd, Memphis, TN 38120 | 2011-03-28 |
| 1467756395 | Neurology Outreach Clinics, LLC | Neurological Surgery | 6005 Park Ave, Suite 722b, Memphis, TN 38119-5202 | 2011-01-07 |
| Find all providers in MEMPHIS | ||||
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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.