JAY T. PETERSON SR. (NPI# 1376515726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376515726 |
| Entity Type | Individual |
| Full Name | JAY T. PETERSON SR. |
| Credential | M.D. |
| Practice Address |
6429 High Dr Mission Hills KS 66208-1935 |
| Practice Telephone | 9137225825 |
| Mailing Telephone | 9137225825 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2009-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
R6888 | MO | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
04-14230 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174743421 | Jay Joseph Peterson | Chiropractor | 701 Elm Drive, Edgerton, WI 53534-1212 | 2007-04-27 |
| 1821012386 | Jay Wademan Peterson | Nurse Practitioner | 201 Cedar St Se, Ste 800, Albuquerque, NM 87106-4917 | 2006-07-27 |
| 1558320853 | Jay William Peterson | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7367 | 2006-03-23 |
| Street Address |
6429 HIGH DR |
| City | MISSION HILLS |
| State | KS |
| Zip Code | 66208-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627940 | Arena Health LLC | Clinic/Center | 8010 Stateline Road, Suite 100, Prairie Village, KS 66208 | 2020-07-27 |
| 1780222414 | Tracy Licausi | Counselor | 4907 W 69th Ter, Prairie Village, KS 66208 | 2019-12-12 |
| 1699294959 | Meredith Arends | Physician Assistant | 2904 W 73rd Street, Prairie Village, KS 66208 | 2017-09-18 |
| 1861914616 | Pardeep Kaur Gill | Dentist | 7501 Mission Rd Ste 102, Prairie Village, KS 66208 | 2017-07-13 |
| 1366821977 | Wineteer, Inc. | Durable Medical Equipment & Medical Supplies | 3500 W 75th St, Suite 100, Prairie Village, KS 66208 | 2015-05-28 |
| 1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
| 1063859650 | Joseph Charles Glenn | Chiropractor | 8016 State Line Rd, Suite 100, Leawood, KS 66208 | 2013-05-23 |
| 1104172337 | Julie Anne Budke | Psychologist | 3965 W 83rd Street Suite 233, Prairie Village, KS 66208 | 2012-07-25 |
| 1700149952 | Julia K Thomas | Specialist | 5111 W. 64th St, Prairie Village, KS 66208 | 2012-06-22 |
| 1255624227 | Carl S Cleveland Iv | Chiropractor | 8016 State Line Rd, Ste 100, Leawood, KS 66208 | 2011-05-24 |
| Find all providers in zip 66208 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982106233 | Michael Benjmain, M.d., Inc. | Internal Medicine | 10630 Sepulveda Blvd Ste 202, Mission Hills, CA 91345-1938 | 2018-03-02 |
| 1497026140 | Benjamin Leach | Internal Medicine | 15031 Rinaldi St Ste 150, Mission Hills, CA 91345-1207 | 2012-01-25 |
| 1134420201 | North Valley Hematology/oncology Medical Group | Internal Medicine | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2010-11-05 |
| 1427262757 | Dilprit Bagga | Internal Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2007-05-09 |
| 1346272994 | Rafid J Kouz | Internal Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2006-07-06 |
| 1578553590 | Albert Dekker | Internal Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629495502 | Sashidhar Manthravadi | Internal Medicine | 8929 Parallel Pkwy Ste G, Kansas City, KS 66112-1689 | 2014-03-28 |
| 1073806410 | Karl H Hanson Jr. | Internal Medicine | 9703 Overbrook Rd, Leawood, KS 66206-2309 | 2011-05-18 |
| 1033408695 | University of Kansas Hospital Authority | Internal Medicine | 9200 Indian Creek Pkwy, Bldg 9 Ste. 300, Overland Park, KS 66210-2036 | 2011-04-05 |
| 1508006917 | Howard N Ward | Internal Medicine | 3126 Sw 15th St, Topeka, KS 66604-2516 | 2009-02-25 |
| 1598916769 | Cancer Center of Kansas, P.a. | Internal Medicine | 817 N. Emporia, Wichita, KS 67214-3709 | 2008-10-07 |
| 1912158221 | Cancer Center of Kansas, P.a. | Internal Medicine | 750 Avenue D, Kingman, KS 67068-0376 | 2008-10-06 |
| 1811148125 | Cancer Center of Kansas, P.a. | Internal Medicine | 124 Commodore, Suite A, Pratt, KS 67124-2903 | 2008-10-06 |
| 1467603779 | Cancer Center of Kansas, P.a. | Internal Medicine | 1305 East 5th, Winfield, KS 67156-2406 | 2008-10-06 |
| 1215188529 | Cancer Center of Kansas, P.a. | Internal Medicine | 505 S. Plummer, Chanute, KS 66720-1950 | 2008-10-06 |
| 1730330044 | Cancer Center of Kansas, P.a. | Internal Medicine | 700 W. Central, El Dorado, KS 67042-2187 | 2008-10-06 |
| Find all providers with the same taxonomy | ||||
| City | MISSION HILLS |
| Zip Code | 66208 |
Please comment or provide details below to improve the information on JAY T. PETERSON SR..
| 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.