DAYMON D PETERSON (NPI# 1619406758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619406758 |
| Entity Type | Individual |
| Full Name | DAYMON D PETERSON |
| Credential | MD |
| Practice Address |
201 W Main St Tupelo MS 38804-3917 |
| Mailing Address |
177 Leek Rd Modesto CA 95357-0338 |
| Practice Telephone | 6624324106 |
| Mailing Telephone | 2093031664 |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2020-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301119035 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
201 W MAIN ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132112 | Alison Renee Mitchell | Nurse Practitioner | 201 W Main St, Tupelo, MS 38804-3917 | 2020-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841691615 | Emyrose Healthcare | Internal Medicine | 1705 Lakefield Dr, Tupelo, MS 38801-8420 | 2014-09-10 |
| 1912285446 | Edmond Collin Nelson Jr. | Internal Medicine | 1150 S Green St Ste 1a, North Mississippi Medical Cencer, Tupelo, MS 38804-4902 | 2011-08-02 |
| 1841344892 | Norris Vincent Crump Sr. | Internal Medicine | 898 Lynden Blvd, 898 Lynden Blvd, Tupelo, MS 38801 | 2007-01-23 |
| 1396783916 | Tupelo Medical Group, LLC | Internal Medicine | 1265 Cliff Gookin Boulevard, Tupelo, MS 38801-6749 | 2006-06-04 |
| 1932155538 | Julian Dale Loden | Internal Medicine | 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 | 2006-05-25 |
| 1164480109 | William Ensor Brohawn IIi | Internal Medicine | 3018 Plantation Cir W, Tupelo, MS 38804-9717 | 2006-05-01 |
| 1891767687 | Timothy Allen Albers | Internal Medicine | 410 Council Cir, Tupelo, MS 38801-4938 | 2006-02-06 |
| 1578910378 | Francis Ogbobe | Internal Medicine | 830 S Gloster St, Tupelo, MS 38801 | 2016-05-21 |
| 1033589163 | Pontotoc Health Providers | Internal Medicine | 450 E President Ave, Tupelo, MS 38801-5599 | 2015-10-01 |
| 1013385715 | North Mississippi Medical Center, Inc. | Internal Medicine | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6583 | 2015-09-11 |
| Find all providers in TUPELO | ||||
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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.