DR. CRAIG RAYMOND PETERSON (NPI# 1619923844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619923844 |
| Entity Type | Individual |
| Full Name | DR. CRAIG RAYMOND PETERSON |
| Credential | M.D. |
| Practice Address |
19725 South Greeno Road Fairhope AL 36532-3843 |
| Mailing Address |
19725 South Greeno Rd Fairhope AL 36532-3843 |
| Practice Telephone | 2519901930 |
| Practice Fax Number | 2519901931 |
| Mailing Telephone | 2519901930 |
| Mailing Fax Number | 2519901931 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
18762 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 000008091 | 01 |
| AL | 529918300 | 05 | |
| AL | 000008091 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649436452 | Craig Peterson | Chiropractor | 613 S Bluff Street, Twr 1, Suite 400, St George, UT 84770-3853 | 2008-07-31 |
| 1588698641 | Craig Stuart Peterson | Psychologist | 410 Arden Ave, Suite 201, Glendale, CA 91203-4006 | 2006-07-11 |
| 1598739054 | Craig Arthur Peterson | Urology | 1550 B East Niagara Rd, Montrose, CO 81401-5027 | 2006-02-13 |
| 1114412228 | Craig Alan Peterson | Registered Nurse | 515 22nd Ave, Monroe, WI 53566-1569 | 2018-06-30 |
| 1437644903 | Craig Peterson | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-27 |
| 1740650076 | Craig Peterson | Acupuncturist | 1570 N 115th St, Seattle, WA 98133-8401 | 2015-09-29 |
| 1467715474 | Craig A. Peterson | Dentist | 6226 14th Ave, Kenosha, WI 53143-4413 | 2012-06-25 |
| 1932421500 | Craig Neil Peterson | Pharmacist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-02-23 |
| 1922128404 | Craig Albert Peterson | Dentist | 1504 4th St Ne, Waseca, MN 56093 | 2007-03-30 |
| 1396888640 | Craig A Peterson | Ophthalmology | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-15 |
| Street Address |
19725 SOUTH GREENO ROAD |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740394105 | Eastern Shore Heart Center | Specialist | 19725 South Greeno Road, Fairhope, AL 36532-3843 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730746454 | Usa Health Physician Billing Services LLC | Internal Medicine | 2451 University Hospital Dr Bldg C, Mobile, AL 36617-2300 | 2019-05-29 |
| 1689173684 | Cardiac Cin of Mobile LLC | Internal Medicine | 202c Government St, Mobile, AL 36602-2614 | 2018-02-05 |
| 1386809176 | Farah Al Khitan | Internal Medicine | 300 Medical Center Dr 401, Gadsden, AL 35903-1104 | 2008-07-22 |
| 1508993668 | Appalachian Cardiovascular Associates | Internal Medicine | 1990 Gault Ave N, Suite 200, Fort Payne, AL 35967-3418 | 2007-02-27 |
| 1639120819 | Cynthia June Anastas | Internal Medicine | 2045 Cecil Ashburn Dr Se, Suite 201, Huntsville, AL 35802-2563 | 2006-05-13 |
| 1659833515 | Cal Care of Al II, LLC | Internal Medicine | 202c Government St, Mobile, AL 36602-2614 | 2019-04-01 |
| 1700348679 | Cal Care of Al, LLC | Internal Medicine | 202c Government St, Mobile, AL 36602-2614 | 2019-04-01 |
| 1386085793 | Ashwini Sharma | Internal Medicine | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2013-07-13 |
| 1144563792 | Hussein Abu Daya | Internal Medicine | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2013-04-02 |
| 1699021972 | Wasiq Faraz Rawasia | Internal Medicine | 185 Mitylene Park Ln, Montgomery, AL 36117-7302 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
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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.