MR. MARK DEWITT PETERS


Address: 1600 N 2nd St, Clinton, MO 64735-1192
Phone: 6608855511

MR. MARK DEWITT PETERS (NPI# 1386841591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386841591
Entity Type Individual
Full Name MR. MARK DEWITT PETERS
Credential RPH.
Practice Address 1600 N 2nd St
Clinton
MO 64735-1192
Mailing Address 815 N.w. 451 Road
Clinton
MO 64735
Practice Telephone 6608855511
Practice Fax Number 6608856279
Mailing Telephone 6608904820
Enumeration Date 2007-06-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 043372 MO Pharmacy Service Providers

Other Providers MARK PETERS

NPI Name Taxonomy Address Enumeration
1710598834 Mark Peters Pathology 14685 Hansberry Rd, Rockton, IL 61072-9752 2020-08-12
1013293216 Mark Aaron Peters Specialist/Technologist 13730 Narrowleaf Dr, Colorado Springs, CO 80921-7601 2011-11-01
1013064849 Mark S Peters Physician Assistant 534 Biltmore Avenue, Asheville, NC 28801-4612 2007-01-04
1437620796 Mark Joseph Peters Respiratory Therapist, Certified 1777 W Yosemite Ave, Manteca, CA 95337-5187 2018-12-16
1346551025 Mark B Peters Counselor 780 American Legion Hwy, Roslindale, MA 02131-3908 2010-06-28
1619166519 Mark J Peters Family Medicine 4200 Houma Blvd, Metairie, LA 70006-2970 2007-10-17
1902096738 Mark S Peters Dietitian, Registered 211 S 3rd St, Belleville, IL 62220-1915 2007-07-27
1497968796 Mark Phillip Peters Dentist 2040 N Loop 336 W, Ste 207, Conroe, TX 77304-3500 2007-05-07
1922142645 Mark L Peters Ophthalmology 11245 Huron St, Westminster, CO 80234-2806 2007-02-16
1366554784 Mark M Peters Psychologist 900 Bryan St, Suite 5, Huntingdon, PA 16652-2413 2006-08-31

Office Location

Street Address 1600 N 2ND ST
City CLINTON
State MO
Zip Code 64735-1192

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003801747 Karl J. Haake Anesthesiology 1600 N 2nd St, Clinton, MO 64735-1192 2005-09-19
1770110520 Aaron Andrew Tjomsland Physician Assistant 1600 N 2nd St, Clinton, MO 64735-1192 2020-03-23
1023663770 Nicole Rebecca Romine Nurse Practitioner 1600 N 2nd St, Clinton, MO 64735-1192 2019-08-08
1083172415 Daniel E Roberson Registered Nurse 1600 N 2nd St, Clinton, MO 64735-1297 2019-03-05
1093284549 Town Square Emergency Associates Pllc Emergency Medicine 1600 N 2nd St, Clinton, MO 64735-1192 2018-11-14
1235610395 Anisa Ranay Burdick Nurse Practitioner 1600 N 2nd St, Clinton, MO 64735-1297 2018-08-27
1215414255 Daniel F. Campbell Nurse Anesthetist, Certified Registered 1600 N 2nd St, Clinton, MO 64735-1192 2018-07-23
1992294458 Aimee Oerke Dietitian, Registered 1600 N 2nd St, Clinton, MO 64735-1192 2018-05-09
1285174268 Mary Darling Social Worker 1600 N 2nd St, Clinton, MO 64735-1192 2017-02-24
1891242715 Michelle Shoemaker Registered Nurse 1600 N 2nd St, Clinton, MO 64735-1192 2016-09-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730543778 Courtney Briggs Speech-Language Pathologist 502 S. 5th, Clinton, MO 64735 2016-04-06
1447669924 James Taylor Thatcher II Counselor 1800 Community Drive, Clinton, MO 64735 2014-08-08
1205271897 Rocksheng Zhong Psychiatry & Neurology 1800 Community Dr, Clinton, MO 64735 2013-05-08
1407196272 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1501 E Ohio St, Clinton, MO 64735 2013-02-15
1265614176 Kristal Lynn Moran Registered Nurse 1600 N Second St, Clinton, MO 64735 2007-12-03
1174653406 Gary Allen Groff Dentist 1100 E Ohio St, Clinton, MO 64735 2007-03-06
1306908512 Andrea Jolynn Bruck Dentist 906 E Ohio, Clinton, MO 64735 2006-12-14
1992873889 Golden Valley Memorial Hospital Home Services Home Health 1600 North Second Street, Clinton, MO 64735 2006-12-01
1033205521 Bradley Mark Townsend Family Medicine 1413 South Second Street, Clinton, MO 64735 2006-10-04
1871688473 Michael Jay Harrison Chiropractor 704 E. Ohio, Clinton, MO 64735 2006-10-03
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346841582 Autumn Brooke Trifone Pharmacist 1795 In 163, Clinton, IN 47842 2020-11-04
1447857909 Marinda Renee Bryan Pharmacist 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 2020-10-07
1811455629 Deva Sandroni Pharmacist 132 Fairmont St Ste B, Clinton, MS 39056-4721 2019-03-11
1225514458 April Walker Pharmacist 100 N. 30th, Clinton, OK 73601 2018-07-11
1659857845 Sally Drinnon Pharmacist 200 S 30th St, Clinton, OK 73601-3657 2018-07-11
1730673237 Raisa Vladimir Reznik Pharmacist 6300 Coventry Way, Clinton, MD 20735-2256 2018-06-18
1962929331 Jonathan Glen Hubanks Pharmacist 202 Clinton Blvd, Clinton, MS 39056-5126 2017-08-27
1871022830 Mary Venetta Rothermal Pharmacist 140 W Michigan Ave, Clinton, MI 49236-9577 2017-06-05
1689028896 Bridget Piko Pharmacist 165 Clinton Lake Rd, Clinton, PA 15026-1927 2016-04-14
1023487055 Tyler Dougherty Pharmacist 1130 N Charles G Seivers Blvd, Clinton, TN 37716-3937 2015-09-21
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Competitor

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City CLINTON
Zip Code 64735

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Dataset Information

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.

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