DR. CAROL E PETERSON (NPI# 1417909102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417909102 |
| Entity Type | Individual |
| Full Name | DR. CAROL E PETERSON |
| Credential | M.D. |
| Practice Address |
7 Atkinson Dr Suite 115 Ludington MI 49431-1953 |
| Mailing Address |
5800 Foremost Dr Se Ste 300 Grand Rapids MI 49546-7062 |
| Practice Telephone | 2318452270 |
| Mailing Telephone | 6169549800 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
4301050870 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730414012 | Carol A Peterson | Health Educator | 2465 Clark Rd, Erie, PA 16510-4411 | 2009-10-05 |
| 1942466677 | Carol Ann Peterson | Social Worker | 6605 W Burnside Rd, #122, Portland, OR 97210-6625 | 2008-08-01 |
| 1538289004 | Carol Peterson | Technician | 4528 N Market St, Saint Louis, MO 63113-2113 | 2007-03-30 |
| 1518098003 | Carol Lynn Peterson | Physical Therapist | 2513 Huntingdon Chase, Atlanta, GA 30350-4964 | 2007-03-08 |
| 1295775377 | Carol M Peterson | Chiropractor | 2228 Turk Rd, Doylestown, PA 18901 | 2006-06-07 |
| 1629056080 | Carol B Peterson | Psychologist | 7400 New La Grange Rd, Ste 312, Louisville, KY 40222-4870 | 2006-01-05 |
| 1447723077 | Carol L Peterson | Speech-Language Pathologist | 700 Glasgow St, Cambridge, MD 21613-1738 | 2019-01-07 |
| 1255858510 | Carol Camille Peterson | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
| 1467744870 | Carol Jeanne Peterson | Genetic Counselor, MS | 500 Red Creek Dr, Suite 220, Rochester, NY 14623-4284 | 2011-05-04 |
| 1023309804 | Carol Jean Peterson | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2011-04-27 |
| Street Address |
7 ATKINSON DR SUITE 115 |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328573 | Sonya C Camilli | Physician Assistant | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2005-06-30 |
| 1528699006 | Spectrum Health Primary Care Partners | Physician Assistant | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2020-02-03 |
| 1982063210 | Memorial Medical Center of West Michigan | Clinic/Center | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2016-02-15 |
| 1063684769 | Bryan Anthony Kovas | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2008-04-02 |
| 1093842759 | Bethany Anne Hartrum | Nurse Practitioner | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2007-02-28 |
| 1205997749 | Kent Vision Centers Inc | Optometrist | 7 Atkinson Dr, Suite 115, Ludington, MI 49431-1953 | 2006-12-12 |
| 1326155144 | Zane M Knoer | Internal Medicine | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2006-08-25 |
| 1851313878 | Luanne Parks | Nurse Practitioner | 7 Atkinson Dr, Ludington, MI 49431-1953 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609118413 | Muhyi Al-sarraf | Internal Medicine | 2810 Birchwood Ct, Bloomfield Hills, MI 48302-0900 | 2013-03-19 |
| 1932431202 | Ernie P. Balcueva Md PC | Internal Medicine | 800 Cooper Ave Ste 10, Saginaw, MI 48602-5373 | 2010-02-11 |
| 1063741536 | John Raymond Schneider | Internal Medicine | 66 Oxford Rd, Grosse Pointe, MI 48236-1829 | 2009-12-13 |
| 1386875607 | Richard Adam Messmann | Internal Medicine | 5912 Hartford Way, Brighton, MI 48116-7810 | 2009-08-04 |
| 1093949745 | Erin Frances Cobain | Internal Medicine | 1500 E Medical Center Dr Fl B1, Ann Arbor, MI 48109-5000 | 2009-05-11 |
| 1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
| 1366645806 | Mcrmc Professional Oncology Billing LLC | Internal Medicine | 1080 Harrington Blvd, Suite 201, Mount Clemens, MI 48043-2967 | 2007-06-11 |
| 1417160508 | Burton F Vanderlaan | Internal Medicine | 5769 Charolais Dr Sw, Wyoming, MI 49418-8703 | 2007-05-07 |
| 1639262751 | Mayur Patel | Internal Medicine | 19725 Allen Rd Ste 101, Brownstown Twp, MI 48183-1090 | 2006-10-02 |
| 1255432324 | Michigan Hematology & Oncology Institute, P.C. | Internal Medicine | 15750 Northline Rd, Southgate, MI 48195-2378 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
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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.