PETER TIMMERMAN (NPI# 1629549654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629549654 |
| Entity Type | Individual |
| Full Name | PETER TIMMERMAN |
| Practice Address |
1506 4th St Santa Rosa CA 95404-4018 |
| Mailing Address |
101 Nautical Ct Vallejo CA 94591-7542 |
| Practice Telephone | 7075271315 |
| Mailing Telephone | 7155292674 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA56382 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1506 4TH ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508132309 | Cuyler Burns Goodwin | Psychiatry & Neurology | 1506 4th St, Santa Rosa, CA 95404-4018 | 2012-03-26 |
| 1104374768 | Sequoia Tms PC | Psychiatry & Neurology | 1506 4th St, Santa Rosa, CA 95404-4018 | 2016-09-13 |
| 1578915625 | Sequoia Mind Health PC | Psychiatry & Neurology | 1506 4th St, Santa Rosa, CA 95404-4018 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139091 | Jenny Quan | Physician Assistant | 2300 Mendocino Ave Ste 4, Santa Rosa, CA 95403-3115 | 2018-10-11 |
| 1760978506 | Rhett Chandler Lacey | Physician Assistant | 545 Caber Dr, Santa Rosa, CA 95409-4404 | 2018-07-05 |
| 1417079112 | James Thomas Williams | Physician Assistant | 728 Mendocino Ave, Santa Rosa, CA 95401-4804 | 2007-04-04 |
| 1356491112 | Jaremy Lowe Kwock | Physician Assistant | 525 Doyle Park Dr Ste 102, Santa Rosa, CA 95405-4562 | 2007-01-11 |
| 1235203274 | Ann S Bruner-welch | Physician Assistant | 401 Bicentennial Way # 120, Santa Rosa, CA 95403-2149 | 2006-11-20 |
| 1770672925 | Robert Evan Crenshaw | Physician Assistant | 401 Bicentennial Way Ste 120, Santa Rosa, CA 95403-2149 | 2006-10-12 |
| 1982640298 | Amy K Jones | Physician Assistant | 1221 N Dutton Ave, Concentra Medical Group, Santa Rosa, CA 95401-4607 | 2006-06-22 |
| 1821068669 | Christine J Perkowska | Physician Assistant | 583 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2006-01-24 |
| 1649265976 | Heather Noel Silva | Physician Assistant | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-13 |
| 1538167226 | Wendy A Williams | Physician Assistant | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2005-07-07 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.