JOSEPH ROGER PETERSON (NPI# 1679561070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679561070 |
| Entity Type | Individual |
| Full Name | JOSEPH ROGER PETERSON |
| Credential | M.D. |
| Practice Address |
1414 E Blanco Rd Suite 9 Boerne TX 78006-1834 |
| Practice Telephone | 8302496321 |
| Practice Fax Number | 8302497138 |
| Mailing Telephone | 8302496321 |
| Mailing Fax Number | 8302497138 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | L5092 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043422926 | Joseph Dick Peterson | Chiropractor | 1325 W 13th St, Davenport, IA 52804-3739 | 2007-05-04 |
| 1104438894 | Joseph Lloyd Peterson | Counselor | 1600 S Lane St, Seattle, WA 98144-2810 | 2020-08-23 |
| 1467800276 | Joseph Peterson | Otolaryngology | 200 Hawkins Dr, Dept of Otolaryngology, Iowa City, IA 52242-1009 | 2016-06-02 |
| 1760786180 | Joseph Peterson | Marriage & Family Therapist | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2010-12-28 |
| 1770769820 | Joseph Peterson | Obstetrics & Gynecology | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2008-01-18 |
| 1669671657 | Joseph David Peterson | Emergency Medicine | 300 E Warwick Dr, Alma, MI 48801-1096 | 2007-07-11 |
| 1972705325 | Joseph Steven Peterson | Emergency Medicine | 1111 6th Ave, Emergency Dept, Des Moines, IA 50314-2613 | 2007-06-05 |
| 1114074242 | Joseph Keith Peterson | Psychologist | 621 Pacific Ave, 100, Tacoma, WA 98402-4600 | 2007-01-04 |
| 1942397054 | Joseph Peterson | Internal Medicine | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| Street Address |
1414 E BLANCO RD SUITE 9 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861668055 | J Tim Rainey, II, D.d.s., P.C. | Dentist | 1414 E Blanco Rd, Suite 16, Boerne, TX 78006-1831 | 2008-05-07 |
| 1376737726 | Joseph R Peterson Md Pa | Dermatology | 1414 E Blanco Rd, Suite 9, Boerne, TX 78006-1834 | 2007-08-29 |
| 1831210350 | J Tim Rainey II | Dentist | 1414 E Blanco Rd, Boerne, TX 78006-1831 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083118111 | Cibolo Creek Dermatology Group | Dermatology | 120 Dietert Ave Bldg Ste 300, Boerne, TX 78006-2406 | 2018-03-22 |
| 1396038246 | Michael A. Sorace, Md Mohs Micrographic & Skin Surgery, Pllc | Dermatology | 124 E Bandera Rd Ste 406, Boerne, TX 78006-2853 | 2011-05-25 |
| 1740324862 | Karla Munoz | Dermatology | 27511 Interstate 10 W Bldg 2, Boerne, TX 78006-6513 | 2007-02-20 |
| 1710042064 | Monica L Mccrary | Dermatology | 120 Dietert Ave Bldg 300, Boerne, TX 78006-2406 | 2006-12-27 |
| 1225135817 | Yang Xia | Dermatology | 745 W San Antonio Ave # 100, Boerne, TX 78006-3213 | 2006-09-17 |
| 1003824335 | Thushan N Desilva | Dermatology | 120 Old San Antonio Rd, Boerne, TX 78006-3413 | 2006-08-03 |
| 1952878944 | Karla N Munoz Md Pllc | Dermatology | 27511 Interstate 10 W Bldg 2, Boerne, TX 78006-6513 | 2018-10-28 |
| 1689107849 | Thushan N Desilva Md Pllc | Dermatology | 745 W San Antonio Ave, Suite 100, Boerne, TX 78006-3213 | 2017-04-05 |
| 1376737726 | Joseph R Peterson Md Pa | Dermatology | 1414 E Blanco Rd, Suite 9, Boerne, TX 78006-1834 | 2007-08-29 |
| 1144268962 | Susan J Mahler | Dermatology | 109 Falls Ct, Suite 100, Boerne, TX 78006-2977 | 2006-06-03 |
| Find all providers in BOERNE | ||||
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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.