GERALD C PETERSON (NPI# 1568446201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568446201 |
| Entity Type | Individual |
| Full Name | GERALD C PETERSON |
| Practice Address |
14000 Fairview Dr Park Nicollet Clinic - Burnsville Burnsville MN 55337-5713 |
| Mailing Address |
6462 Wayzata Blvd Ste 315 St Louis Park MN 55426-1710 |
| Practice Telephone | 9529938608 |
| Mailing Telephone | 9529936450 |
| Mailing Fax Number | 9529930300 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
17386 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 52225200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316983513 | Gerald Dudley Peterson | Podiatrist | 1880 Willamette Falls Dr, Suite 111, West Linn, OR 97068-4652 | 2006-06-22 |
| 1407901358 | Gerald Edward Peterson | Counselor | 1802 California St, Eureka, CA 95501-2808 | 2007-01-23 |
| 1043270119 | Gerald Fred Peterson | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-03-24 |
| Street Address |
14000 FAIRVIEW DR PARK NICOLLET CLINIC - BURNSVILLE |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477536944 | Jeanne M Hesse | Family Medicine | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2005-11-29 |
| 1134777550 | Madison Beverly Peitz | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337-4571 | 2019-08-28 |
| 1932688728 | Kelsie Marie Gunnufson | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337 | 2018-08-13 |
| 1477031813 | Rachel Anne Bartelt Gilbertson | Speech-Language Pathologist | 14000 Fairview Dr, Burnsville, MN 55337-4571 | 2018-07-28 |
| 1497265698 | Alanna Jade Jirschele | Audiologist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2017-10-03 |
| 1164979381 | Taylor Brutlag | Occupational Therapist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-09-06 |
| 1770039281 | Kayla Hollstadt | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-08-26 |
| 1467804252 | Kristen Ann Akervik | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-07-06 |
| 1922452325 | Elizabeth Marie Sproat Mcniven | Family Medicine | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-04-21 |
| 1225492739 | Brielle Joy Haggerty | Pediatrics | 14000 Fairview Dr, Burnsville, MN 55337 | 2016-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972684942 | Kristi K Picken | Psychiatry & Neurology | 2100 County Road 42 West., Cashman Center, Burnsville, MN 55337 | 2006-10-18 |
| 1043295223 | Brian R Koller | Psychiatry & Neurology | 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 | 2005-12-12 |
| 1659413698 | Universal Mhddsas | Psychiatry & Neurology | 10 N Main St, Burnsville, NC 28714-2925 | 2007-02-13 |
| 1962563536 | Charles Brien Godfrey | Psychiatry & Neurology | 501 Highway 13 E, Suite 116, Burnsville, MN 55337-2884 | 2006-12-13 |
| 1205813201 | M Gene Parrish | Psychiatry & Neurology | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277677 | Emily Tonkin, LLC | Psychiatry & Neurology | 825 Nicollet Mall Ste 1246, Minneapolis, MN 55402-2702 | 2020-08-28 |
| 1083243182 | Blake Novy | Psychiatry & Neurology | 200 1st St Sw Dept Of, Rochester, MN 55905-0001 | 2020-04-02 |
| 1174156152 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 115 Elm St Ste I, Farmington, MN 55024-1031 | 2020-02-18 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1912537721 | Psy-fi Tms | Psychiatry & Neurology | 6504 Creek Dr, Edina, MN 55439-1208 | 2020-01-21 |
| 1821637869 | Psychopharmacology Consultant LLC | Psychiatry & Neurology | 1082 Highway 3 S, Northfield, MN 55057-3088 | 2019-12-21 |
| 1770120933 | Dr. Lisa Etherapy | Psychiatry & Neurology | 3539 Douglas Dr N, Minneapolis, MN 55422-2415 | 2019-12-06 |
| 1225673411 | Osetohamen Elizabeth Agene | Psychiatry & Neurology | 5701 Shingle Creek Pkwy Ste 115, Minneapolis, MN 55430-2485 | 2019-11-12 |
| 1700319456 | Kristin Nguyen | Psychiatry & Neurology | 1301 W Center St, Rochester, MN 55902-0333 | 2017-04-10 |
| 1295198539 | Daniel Janiczak | Psychiatry & Neurology | 701 Park Ave. B5 118, Hencepin County Medical Center Department of Psychiatry, Minneapolis, MN 55415 | 2016-04-04 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.