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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 17851 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 7822481 | 01 | |
| OK | 100173870A | 05 | |
| AETNA | 4207831 | 01 |
| 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 |
| Street Address |
4812 S 109TH EAST AVE SUITE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5826 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| 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 |
| Find all providers in TULSA | ||||
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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.