PAUL DAVID PETERSON


Address: 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5826
Phone: 9183921400

PAUL DAVID PETERSON (NPI# 1427084318) 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) 1427084318
Entity Type Individual
Full Name PAUL DAVID PETERSON
Credential M.D.
Practice Address 4812 S 109th East Ave
Suite 300
Tulsa
OK 74146-5826
Mailing Address 4802 S 109th East Ave
Tulsa
OK 74146-5822
Practice Telephone 9183921400
Practice Fax Number 9182364587
Mailing Telephone 9183921400
Mailing Fax Number 9183921488
Enumeration Date 2006-06-23
Last Update Date 2017-02-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 17851 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CIGNA 7822481 01
OK 100173870A 05
AETNA 4207831 01

Other Providers PAUL PETERSON

NPI Name Taxonomy Address Enumeration
1134769979 Paul Peterson Non-emergency Medical Transport (VAN) 4314 45th St N, Fargo, ND 58102-6915 2020-01-09
1013304500 Paul Carlton Peterson Home Health Aide 712 4th St Ne, Washington, DC 20002-4316 2015-04-22
1083902126 Paul H Peterson Podiatrist 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 2011-07-11
1245498971 Paul Stephen Peterson Physician Assistant 5731 Silverstone Ter Ste 100, Colorado Springs, CO 80919-3594 2008-05-29
1285752642 Paul Arthur Peterson Specialist/Technologist 46400 Algonkian Pkwy, Potomac Falls, VA 20165-6487 2007-03-26
1528114667 Paul Joseph Peterson Social Worker 1459 N Main St Ste 100, Bountiful, UT 84010-6092 2007-01-25
1194876672 Paul Gabriel Peterson Student in an Organized Health Care Education/Training Program Wramc Department of Radiology, 6900 Georgia Ave. Nw, Bldg. 2, Washington, DC 20307-0001 2007-01-13
1972678993 Paul Stanley Peterson Chiropractor 4616 El Camino Ave, Sacramento, CA 95821-6736 2006-11-22
1275646465 Paul J Peterson Social Worker 102 Southend Dr, Dayton, NV 89403-7414 2006-08-15
1326013426 Paul D Peterson Family Medicine 2600 Outer Dr N, Sioux City, IA 51104-1585 2006-02-22

Office Location

Street Address 4812 S 109TH EAST AVE
SUITE 300
City TULSA
State OK
Zip Code 74146-5826

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154382711 William Surbeck Internal Medicine 4812 S 109th East Ave, Ste. 200, Tulsa, OK 74146-5822 2006-03-31
1619238037 Jamie Lea Fox Physical Therapist 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5822 2012-06-01
1366709354 Lindsay Cunningham Internal Medicine 4812 S 109th East Ave, Ste. 200, Tulsa, OK 74146-5826 2012-04-16
1548591498 Windy Ann Guse Physician Assistant 4812 S 109th East Ave, Ste. 300, Tulsa, OK 74146-5826 2010-01-15
1336326206 Richard L Drake Orthopaedic Surgery 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5822 2008-01-23
1376727289 Christopher R. Martin Physical Medicine & Rehabilitation 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5826 2007-12-27
1043359813 Brian Eugene Lovelace Orthopaedic Surgery 4812 S 109th East Ave, Suite 100, Tulsa, OK 74146-5826 2007-02-06
1386672913 Marchel Word Clements Orthopaedic Surgery 4812 S 109th East Ave, Ste. 300, Tulsa, OK 74146-5826 2006-06-30
1912934100 Srikanth Kottapally Reddy Physical Medicine & Rehabilitation 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5826 2006-06-26
1962455725 William Charles Clark Jr. Orthopaedic Surgery 4812 S 109th East Ave, Ste. 300, Tulsa, OK 74146-5826 2006-05-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922624550 Sage Anesthesia Services Inc. Nurse Anesthetist, Certified Registered Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 2020-06-19
1811401631 Fresenius Medical Care Tulsa, LLC Clinic/Center 5230 S Mingo Rd, Tulsa, OK 74146 2017-12-01
1184158404 Alexis Lauren Allen Case Manager/Care Coordinator 9820 E 41st St #400, Tulsa, OK 74146 2017-04-13
1578995908 Adrian Gheorghe Butuc Massage Therapist 5635 S Mingo #b, Tulsa, OK 74146 2013-08-08
1336587088 Tulsa Cancer Institute, Pllc Obstetrics & Gynecology 12697 E. 51st St. South, Tulsa, OK 74146 2013-06-04
1265782338 Milestones Pediatric Urgent Care Pediatrics 3863 South 103rd E Avenue, Tulsa, OK 74146 2012-09-14
1619232972 Diagnostic Imaging Associates General Acute Care Hospital 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 2012-07-11
1790046654 Aundra Lamar Fuller Behavioral Analyst 10922 E. 39th St., Tulsa, OK 74146 2012-06-06
1134492416 Mark S Thomas Jr. Behavioral Analyst 10005 E 52nd Street, Tulsa, OK 74146 2012-02-16
1922307958 Founders Healthcare, LLC Durable Medical Equipment & Medical Supplies 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 2011-03-16
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962011999 Upper Extremity Orthopedic Specialists Pllc Orthopaedic Surgery 2448 E 81st St Ste 200, Tulsa, OK 74137-4250 2020-07-27
1942703665 Northeast Oklahoma Spine and Sports LLC Orthopaedic Surgery 6048a S Sheridan Rd, Tulsa, OK 74145-9212 2018-03-09
1710279724 Brett Allen Barrick Orthopaedic Surgery 2424 E 21st St Ste 320, Tulsa, OK 74114-1722 2011-05-09
1104139328 Warren Clinic, Inc Orthopaedic Surgery 10507 East 91st Street, Suite 450, Tulsa, OK 74133 2010-07-16
1467770610 Gary Charles Hassmann Orthopaedic Surgery 8206 East 74th Court, Tulsa, OK 74133 2010-05-12
1700042892 Denny E Krout Do Inc Orthopaedic Surgery 8523 E 11th St Ste A2, Tulsa, OK 74112-7947 2008-07-29
1306968839 Northeast Orhtopaedics & Sports Medicine Orthopaedic Surgery 6312 E 101st Street, Tulsa, OK 74137 2007-04-04
1528122413 Clint Justin Basener Orthopaedic Surgery 6130 E 81st St, Tulsa, OK 74137 2006-12-21
1518077502 Eugene Gray Feild II Orthopaedic Surgery 6600 South Yale Avenue, Suite 1315, Tulsa, OK 74136 2006-08-30
1619982063 Tulsa Orthopedic Surgeons Orthopaedic Surgery 9709 E 79th St South, Tulsa, OK 74133 2006-07-31
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City TULSA
Zip Code 74146

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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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