DR. PETER EVERSON (NPI# 1477904720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477904720 |
| Entity Type | Individual |
| Full Name | DR. PETER EVERSON |
| Credential | M.D. |
| Practice Address |
1402 S Grand Blvd Saint Louis MO 63104-1004 |
| Mailing Address |
5509 Goethe Ave Saint Louis MO 63109-3208 |
| Practice Telephone | 3149779870 |
| Mailing Telephone | 3144586687 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2016021986 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629205935 | Peter Everson | Pediatrics | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2009-06-12 |
| Street Address |
1402 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588649271 | Fred W Rottnek | Family Medicine | 1402 S Grand Blvd, Family and Community Medicine, Saint Louis, MO 63104-1004 | 2005-12-14 |
| 1891305819 | Ahmed Eltarras | Internal Medicine | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2020-08-04 |
| 1265058309 | Anu Rijal | Pathology | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2020-06-24 |
| 1760005706 | Mehmet Tamer | Internal Medicine | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2020-05-26 |
| 1275156523 | Muhammad Murtaza Alam | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2020-05-21 |
| 1235758442 | Ryan Walde | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2020-04-09 |
| 1770148876 | David Starr | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2019-05-03 |
| 1932763703 | Kate Beatriz Alemann | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2019-04-27 |
| 1144783648 | Jakob Hockman | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2019-04-11 |
| 1518426485 | Matthew K Kaili | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| 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 |
|---|---|---|---|---|
| 1760903850 | Adam J Martin | Orthopaedic Surgery | 621 S New Ballas Rd Ste 3005b, Saint Louis, MO 63141-8266 | 2017-06-29 |
| 1801254164 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | 2016-02-02 |
| 1285051482 | Michael Joseph Reiter | Orthopaedic Surgery | 3009 N Ballas Rd Ste 269c, Saint Louis, MO 63131-2339 | 2014-03-25 |
| 1154767507 | Robert M Corey | Orthopaedic Surgery | 3635 Vista Ave, 7th Floor- Desloge Tower, Department of Orthopedics, Saint Louis, MO 63110 | 2013-05-13 |
| 1770855884 | George Owens Sertl | Orthopaedic Surgery | 10757 Forest Path Dr, Saint Louis, MO 63128-2008 | 2012-02-04 |
| 1285881581 | John Powell Arnot | Orthopaedic Surgery | 1145 Lockett Rd, Saint Louis, MO 63131-4234 | 2008-08-19 |
| 1558526327 | Jordan Howard Ginsburg | Orthopaedic Surgery | 231 S Bemiston Ave, Suite 500, Saint Louis, MO 63105-1914 | 2008-07-22 |
| 1659562528 | Kenyatta D Norman | Orthopaedic Surgery | 1209 Washington Ave, Ste 518, Saint Louis, MO 63103-1996 | 2007-08-06 |
| 1134342918 | Matthew Walter Bradley | Orthopaedic Surgery | 1001 S Kirkwood Rd Ste 120, Saint Louis, MO 63122-7250 | 2007-04-10 |
| 1437272663 | St. Louis-clayton Orthopedic Group, Inc. | Orthopaedic Surgery | 1034 S Brentwood Blvd Ste 650, Saint Louis, MO 63117-1267 | 2007-04-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
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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.