DR. NICHOLAS SCOTT PETERSON (NPI# 1629456124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629456124 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS SCOTT PETERSON |
| Credential | M.D. |
| Practice Address |
1200 Childrens Ave Ste 12200 Oklahoma City OK 73104 |
| Mailing Address |
1200 Childrens Ave Ste 12200 Oklahoma City OK 73104-4637 |
| Practice Telephone | 4052716372 |
| Practice Fax Number | 4052712281 |
| Mailing Telephone | 4052716372 |
| Mailing Fax Number | 4052712281 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 34009 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609313782 | Nicholas Peterson | Physical Therapy Assistant | 9550 Highway 412 W, Lexington, TN 38351-5849 | 2017-01-26 |
| 1619357696 | Nicholas L Peterson | Physical Therapist | 6420 County Road 335 Unit B, New Castle, CO 81647-9691 | 2015-06-04 |
| 1639281363 | Nicholas James Peterson | Dentist | Psc 557 Box 2963, Fpo, AP 96379 | 2006-08-31 |
| 1912513102 | Nicholas Ronald Peterson | Counselor | 150 W 1st St Ste 270, New Richmond, WI 54017-1770 | 2020-09-22 |
| 1619505229 | Nicholas Vernon Peterson | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Surgery, Los Angeles, CA 90095-7419 | 2020-03-30 |
| 1386297869 | Nicholas Peterson | Anesthesiologist Assistant | 900 23rd St Nw, Washington, DC 20037-2342 | 2019-07-23 |
| 1205493335 | Nicholas Peterson | Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-05-23 |
| 1689230450 | Nicholas Edward Peterson | Physical Medicine & Rehabilitation | 410 Church St Se, Minneapolis, MN 55455-0222 | 2019-05-16 |
| 1942505037 | Nicholas Peterson | Counselor | 669 S Haywood St, Waynesville, NC 28786-6703 | 2011-01-20 |
| 1346576923 | Nicholas J Peterson | Registered Nurse | 780 Albany St, Boston, MA 02118-2524 | 2009-11-02 |
| Street Address |
1200 CHILDRENS AVE STE 12200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| 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 |
|---|---|---|---|---|
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1851868863 | Okc Kids Urology Pllc | Pediatrics | 3705 Nw 63rd St Ste 211, Oklahoma City, OK 73116-1937 | 2018-10-28 |
| 1700380268 | Katherine Ann Brashears | Pediatrics | 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 | 2018-03-20 |
| 1649650920 | Amber Chantell Landry | Pediatrics | 937 Sw 89th St Ste A, Oklahoma City, OK 73139-9231 | 2015-06-02 |
| 1346628856 | Ankur Rughani | Pediatrics | 1200 Childrens Ave # 65532, Oucp 14000 A2, Oklahoma City, OK 73104-4637 | 2015-05-15 |
| 1467848044 | Matthew Le | Pediatrics | 1200 Childrens Ave Ste 12300, Oklahoma City, OK 73104-4637 | 2015-04-10 |
| 1295140721 | Monica Wardwell Fogarty | Pediatrics | 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104-4637 | 2014-06-23 |
| 1912311200 | Melissa Jane Muhlinghause | Pediatrics | 4140 W Memorial Rd Ste 413, Oklahoma City, OK 73120 | 2014-06-16 |
| 1023364890 | Aswathy Kumar Vaikom House | Pediatrics | Ou Childrens Hospital, 1200 Everett Dr., Oklahoma City, OK 73104 | 2012-07-31 |
| 1417213943 | Theresa Mary Graif | Pediatrics | 1200 Everett Dr Rm 8305, Oklahoma City, OK 73104-5047 | 2012-04-10 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.