JOHN DAVID PETERSON (NPI# 1558999524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558999524 |
| Entity Type | Individual |
| Full Name | JOHN DAVID PETERSON |
| Credential | DO |
| Practice Address |
101 E Wood St Spartanburg SC 29303-3040 |
| Practice Telephone | 8645606285 |
| Practice Fax Number | 8645606063 |
| Mailing Telephone | 8645606285 |
| Mailing Fax Number | 8645606063 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | LL83119 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361119 | John Kendall Peterson Jr. | Respiratory Therapist, Registered | 522 Old Colony Rd, South Abington Township, PA 18411-1604 | 2020-06-17 |
| 1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
| 1740567437 | John Peterson | Durable Medical Equipment & Medical Supplies | 23649 Castle Rock, Mission Viejo, CA 92692-1897 | 2011-11-08 |
| 1366738486 | John M Peterson | Optometrist | 545 S Broadway Ste 500, Denver, CO 80209-4076 | 2011-06-27 |
| 1598905929 | John Michael Peterson | Dentist | 12427 S 4000 W, Ste 200, Riverton, UT 84065 | 2009-02-25 |
| 1457476723 | John R Peterson | Dentist | 3207 Saint Paul Blvd, Rochester, NY 14617-3436 | 2007-03-19 |
| 1295875953 | John Gregory Peterson | Dentist | 9201 W Overland Rd, Boise, ID 83709-2502 | 2007-02-08 |
| 1912065483 | John R Peterson | General Practice | 212 S Mill St, Rushford, MN 55971 | 2006-12-05 |
| 1154404226 | John M Peterson | Neuromusculoskeletal Medicine & OMM | 72 Barre St, Montpelier, VT 05602-3508 | 2006-10-23 |
| 1952408577 | John Michael Peterson | Dentist | 349 W Center St, West Bridgewater, MA 02379-1621 | 2006-09-17 |
| Street Address |
101 E WOOD ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858467 | Steven William Corso | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2005-06-02 |
| 1932713203 | Warren Everett Evans | Surgery | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-09-03 |
| 1023628096 | Zoe Kyle | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-08-05 |
| 1952928897 | Marcus Kyle Mauney | Registered Nurse | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-26 |
| 1679198618 | Raymond Briggs Westby | Surgery | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-16 |
| 1477178754 | Brewer Mccann Carter | Surgery | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-11 |
| 1982229704 | Kathryn Dewalt Rubel | Nurse Anesthetist, Certified Registered | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-09 |
| 1255956074 | Benjamin Todd Reeves | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-09 |
| 1952926685 | Mason Runge | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-09 |
| 1013531045 | Ryan Scott Rhodes | Internal Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1548526783 | William Charles Elston | Surgery | 339 Fairlane Dr, Spartanburg, SC 29307-3840 | 2012-04-02 |
| 1043441736 | Michael G Mount | Surgery | 853 N Church St Ste 500, Spartanburg, SC 29303-3077 | 2009-07-29 |
| 1477508877 | Sylvia S Tarazi | Surgery | 385 Serpentine Dr, Spartanburg, SC 29303-3018 | 2006-05-23 |
| 1306803200 | Ernest Camp IIi | Surgery | 16 Drayton Ct, Spartanburg, SC 29301-6519 | 2006-04-26 |
| 1457316978 | Christope Liem Nguyen | Surgery | 101 E Wood St Fl 3, Spartanburg, SC 29303 | 2006-04-18 |
| 1386607349 | Richard Bennett Reinhardt Jr. | Surgery | 1330 Boiling Springs Rd Ste 2300, Spartanburg, SC 29303 | 2006-04-10 |
| 1659332815 | James D Dunn | Surgery | 324 N Pine St, Spartanburg, SC 29302-1631 | 2006-03-29 |
| 1144297888 | Auburn Woods IIi | Surgery | 1330 Boiling Springs Road, Suite 2300, Spartanburg, SC 29303 | 2006-03-01 |
| 1275505026 | Mark O Smith | Surgery | 1650 Skylyn Dr Ste 240, Spartanburg, SC 29307-1069 | 2006-02-06 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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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.