DR. RYAN PAUL PETERSON (NPI# 1598109480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598109480 |
| Entity Type | Individual |
| Full Name | DR. RYAN PAUL PETERSON |
| Credential | M.D. |
| Practice Address |
2100 Autumn Slate Dr Ste 150 Pflugerville TX 78660-6034 |
| Mailing Address |
4515 Seton Center Pkwy Ste 215 Austin TX 78759-5785 |
| Practice Telephone | 7372207200 |
| Practice Fax Number | 5124067339 |
| Mailing Telephone | 5122315507 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | R5796 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | NO LICENSE YET | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NO LICENSE YET | CA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 384811101 | 05 | |
| TX | 384811102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619354008 | Ryan Peterson | Hearing Instrument Specialist | 822 Mainstreet, Hopkins, MN 55343-7627 | 2015-05-05 |
| 1912213497 | Ryan Peterson | Counselor | 179 Morrison Ave, Somerville, MA 02144-2017 | 2010-08-23 |
| 1669613816 | Ryan Curtis Peterson | Anesthesiology | 3209 Hillock Dr, Los Angeles, CA 90068-1427 | 2009-03-18 |
| 1245486307 | Ryan Thomas Peterson | Podiatrist | 676 S Bluff St Ste 205, St George, UT 84770-3568 | 2008-08-08 |
| 1902864614 | Ryan Kent Peterson | Optometrist | 4401 E Sunset Rd, Suite 4, Henderson, NV 89014-0274 | 2006-05-02 |
| 1346237393 | Ryan Paul Peterson | Family Medicine | 1553 W 9000 S, West Jordan, UT 84088-9219 | 2005-10-04 |
| 1952908600 | Ryan Peterson | Pharmacist | 50 W Techne Center Dr Ste J, Milford, OH 45150-9798 | 2020-10-06 |
| 1124650395 | Ryan Peterson | Counselor | 3802a Grand Ave S, Minneapolis, MN 55409-1233 | 2020-02-06 |
| 1912434432 | Ryan Dean Peterson | Family Medicine | 4318 Trail Boss Dr Ste 100, Castle Rock, CO 80104-7512 | 2017-05-15 |
| 1841676764 | Ryan Peterson | Dentist | 18340 Governors Hwy, Homewood, IL 60430-2910 | 2015-08-03 |
| Street Address |
2100 AUTUMN SLATE DR STE 150 |
| City | PFLUGERVILLE |
| State | TX |
| Zip Code | 78660-6034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154386829 | Jerett Aaron Zipin | Neuromusculoskeletal Medicine, Sports Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660 | 2006-04-18 |
| 1053963025 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2019-07-10 |
| 1083094593 | Travis Michael Averitt | Family Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2015-06-01 |
| 1265879332 | Noreen Valla | Family Medicine | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2013-05-30 |
| 1992711261 | Judith W Enders | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2006-07-31 |
| 1619983954 | Anna E Holliman | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912438 | Swish Dental Pfluggerville, PC | Dentist | 18817 N Heatherwilde Blvd Bldg 1 Ste 100, Pflugerville, TX 78660 | 2020-08-10 |
| 1982225710 | Carpe Diem Primary Care | Clinic/Center | 201 Heatherwilde Blvd, Suite 300, Pflugerville, TX 78660 | 2020-05-04 |
| 1093357055 | Pflugerville Almc, LLC | Assisted Living Facility | 1020 E. Wells Branch Parkway, Pflugerville, TX 78660 | 2019-10-11 |
| 1275186264 | K Family Dentistry | Clinic/Center | 428 Grand Avenue Parkway, Suite150, Pflugerville, TX 78660 | 2019-07-19 |
| 1356901284 | Mary-ellen Pon | Counselor | 2001 Serentiy Drive, Pflugerville, TX 78660 | 2019-06-13 |
| 1194282087 | Leomie Enette Slaughter | Nurse's Aide | 14233 The Lakes Blvd #938, Pflugerville, TX 78660 | 2019-02-27 |
| 1992272850 | Soh of Texas Samson Liu Pllc | Dentist | 1616 Ftm 685 #103, Pflugerville, TX 78660 | 2018-10-30 |
| 1700360476 | Baylor Health Enterprises, L.p. | Pharmacy | 2600 E. Pflugerville Pkwy, Suite 1.200, Pflugerville, TX 78660 | 2018-09-19 |
| 1487135216 | Erin Rachael Abbott | Licensed Vocational Nurse | 608 Palitine Ln, Pflugerville, TX 78660 | 2018-08-29 |
| 1346729159 | Baylor Scott & White Medical Centers - Capitol Area | General Acute Care Hospital | 2600 E Pflugerville Pkwy, Ste 100, Pflugerville, TX 78660 | 2018-08-13 |
| Find all providers in zip 78660 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891701173 | Andrew T. Cavanagh | Pediatrics | 15803 Windermere Dr #103, Pflugerville, TX 78660-2482 | 2006-07-31 |
| 1710903257 | Ky Q Nguyen | Pediatrics | 15803 Windermere Dr Ste 103, Pflugerville, TX 78660-2482 | 2006-07-15 |
| 1740260785 | Shaili Matta Singh | Pediatrics | 15803 Windermere Dr, Suite 103, Pflugerville, TX 78660-2402 | 2006-01-17 |
| 1760900641 | Scott & White Clinic | Pediatrics | 1701 E Pflugerville Pkwy, Pflugerville, TX 78660-8990 | 2017-08-31 |
| 1700103926 | Avni Shah | Pediatrics | 1701 E Pflugerville Pkwy, Pflugerville, TX 78660-8990 | 2010-04-28 |
| 1720166291 | Ramla Ali | Pediatrics | 15803 Windermere Dr Ste 103, Pflugerville, TX 78660-2482 | 2006-11-01 |
| 1992711261 | Judith W Enders | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2006-07-31 |
| 1619983954 | Anna E Holliman | Pediatrics | 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660-6034 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366635 | Colleen Jaurequi | Pediatrics | 309 Shepards Hill Dr, Rockwall, TX 75087-2850 | 2020-11-05 |
| 1114526050 | 915 Pediatrics Pllc | Pediatrics | 3261 Joe Battle Blvd, El Paso, TX 79936-1156 | 2020-10-21 |
| 1114525532 | Springs Pediatrics Associates Pllc | Pediatrics | 201 Oak Dr S Ste 202, Lake Jackson, TX 77566-5627 | 2020-10-16 |
| 1619575487 | Sreebhavi Professional Corporation | Pediatrics | 340 Hawkins Run Rd, Midlothian, TX 76065-6638 | 2020-10-14 |
| 1588262695 | Buttercup Pediatrics Pllc | Pediatrics | 27524 Westridge Creek Ln Ste D, Katy, TX 77494-5290 | 2020-10-12 |
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1992310973 | Fernando Castaneda Md Pa | Pediatrics | 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 | 2020-09-15 |
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | PFLUGERVILLE |
| Zip Code | 78660 |
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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.