DONALD R. PETERSON,II, M.D. INC. (NPI# 1669677084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669677084 |
| Entity Type | Organization |
| Organization Name | DONALD R. PETERSON,II, M.D. INC. |
| Practice Address |
729 Sunrise Ave Suite 610 Roseville CA 95661-4565 |
| Practice Telephone | 9167837533 |
| Mailing Telephone | 9167837533 |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD RAYMOND PETERSON (PRESIDENT) |
| Authorized Official Telephone | 9167837533 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
729 SUNRISE AVE SUITE 610 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131301 | Alan A Semion | Specialist | 729 Sunrise Ave, #700, Roseville, CA 95661-4565 | 2005-08-10 |
| 1760082325 | Ashley Charmagne Jordan | Counselor | 729 Sunrise Ave, Roseville, CA 95661-4565 | 2020-10-31 |
| 1366801193 | Ashley Marie Ongjoco | Nurse Practitioner | 729 Sunrise Ave, Roseville, CA 95661-4565 | 2016-02-22 |
| 1558720177 | Northern California Orthopaedic Associates Corp | Orthopaedic Surgery | 729 Sunrise Ave, Suite 601, Roseville, CA 95661-4565 | 2016-02-11 |
| 1881020253 | Doctors In Inc | Internal Medicine | 729 Sunrise Ave, Suite 612, Roseville, CA 95661-4565 | 2013-09-17 |
| 1427482595 | Catherine C. Fisher | Social Worker | 729 Sunrise Ave, Suite 101, Roseville, CA 95661-4565 | 2013-08-26 |
| 1174871933 | Marilyse Ann Ryan | Physician Assistant | 729 Sunrise Ave, # 900, Roseville, CA 95661-4565 | 2012-08-27 |
| 1801143102 | Quality Medical-roseville, PC | Internal Medicine | 729 Sunrise Ave, Suite 610, Roseville, CA 95661-4565 | 2012-08-07 |
| 1467720474 | William Raymond Mcvicker | Marriage & Family Therapist | 729 Sunrise Ave, Suite 601, Roseville, CA 95661-4565 | 2011-12-05 |
| 1548569627 | Maribeth Noxon | Nurse Practitioner | 729 Sunrise Ave, Suite 604, Roseville, CA 95661-4565 | 2011-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396274544 | Dustin Zierold Md, A Professional Corporation | Surgery | 2 Medical Plaza Dr Ste 275, Roseville, CA 95661-3051 | 2017-06-09 |
| 1265545354 | Paul J Dugan | Surgery | 1020 Charleston Cr, Roseville, CA 95661-4706 | 2006-08-16 |
| 1841270352 | Rolf N Gulbrandson | Surgery | 5 Medical Plaza Dr., Suite 120, Roseville, CA 95661 | 2006-01-19 |
| 1366424095 | Thomas Michael Polidore | Surgery | 3 Medical Plaza Dr Ste 130, Roseville, CA 95661-3088 | 2005-11-17 |
| 1316928070 | Benjamin D Shadle | Surgery | 3 Medical Plaza, Suite 200, Roseville, CA 95661 | 2005-11-09 |
| 1568015808 | Sierra Medical Partnership | Surgery | 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | 2019-07-16 |
| 1528566197 | Jon Perlstein, M.d., Inc | Surgery | 2 Medical Plaza Dr Ste 275, Roseville, CA 95661-3051 | 2018-01-29 |
| 1861867855 | Sierra Pacific Surgical, Inc. | Surgery | 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | 2015-12-02 |
| 1760882401 | Joel Crawford | Surgery | 3 Medical Plaza Dr Ste 130, Roseville, CA 95661-3088 | 2014-08-31 |
| 1467869354 | Jay S. Robertson | Surgery | 584 N Sunrise Ave, Roseville, CA 95661-2862 | 2014-07-13 |
| Find all providers in ROSEVILLE | ||||
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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.