ADAM PETERSON (NPI# 1659724177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659724177 |
| Entity Type | Individual |
| Full Name | ADAM PETERSON |
| Credential | D.OI. |
| Practice Address |
1000 Harrington Blvd Mount Clemens MI 48043 |
| Mailing Address |
17674 Maisons Drive Clinton Township MI 48038 |
| Practice Telephone | 5864938000 |
| Mailing Telephone | 4174597826 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358018 | Adam Peterson | Counselor | 200 Beatty St, Medford, OR 97501-5811 | 2020-05-27 |
| 1467978858 | Adam David Peterson | Psychologist | 3200 Vine Street, Office B125a, Cincinnati, OH 45220 | 2017-08-17 |
| 1033539937 | Adam Peterson | Psychiatry & Neurology | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2014-04-18 |
| 1306263595 | Adam Peterson | Rehabilitation Practitioner | 1255 Curti Dr, Reno, NV 89502-1708 | 2014-03-25 |
| 1891049177 | Adam Gregory Peterson | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2012-11-07 |
| 1578871810 | Adam Peterson | Counselor | 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086-7624 | 2010-09-21 |
| Street Address |
1000 HARRINGTON BLVD |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164475687 | Dorothy M Halperin | Pathology | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-05-18 |
| 1275986705 | Andrew Hatkoff | Radiology | 1000 Harrington Blvd, Mclaren Macomb Hospital, Mount Clemens, MI 48043 | 2016-07-20 |
| 1679669352 | Julie A Tremblay | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-04 |
| 1871689380 | Walter J Sworst | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-04 |
| 1841386547 | Nicole A Dimuzio | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-04 |
| 1649365164 | William G Dallas | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| 1720172414 | Paul A Mailloux | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| 1144315755 | Victoria L Struebing | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| 1740374362 | Jerome D Querns | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| 1528152279 | Kim M Jones | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591138 | Anthony Frank Teta | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-06-01 |
| 1902429830 | Carlos Yeelot | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-05-27 |
| 1710500640 | Kellie Zawisa | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-05-27 |
| 1538782495 | Lance Workman | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-05-26 |
| 1912520172 | Nawal Azhari Elbashir | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-05-22 |
| 1518580612 | Andrew Michael Toenniessen | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-05-22 |
| 1124641212 | Pavel Medved | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-05-22 |
| 1699398701 | Emily Jane Torgerson | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-05-22 |
| 1306469564 | Sarah Elise Clayton | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-05-22 |
| 1558984641 | Erica Melkonian | Student in an Organized Health Care Education/Training Program | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-05-22 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
Please comment or provide details below to improve the information on ADAM PETERSON.
| 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.