DR. NICHOLAS EDWARD PETERSON (NPI# 1689230450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689230450 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS EDWARD PETERSON |
| Credential | MD |
| Practice Address |
410 Church St Se Minneapolis MN 55455-0222 |
| Mailing Address |
3118 W Lake St Unit 325 Minneapolis MN 55416-6810 |
| Practice Telephone | 6517074042 |
| Mailing Telephone | 6517074042 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 29803 | MN | 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 |
| 1629456124 | Nicholas Scott Peterson | Pediatrics | 1200 Childrens Ave Ste 12200, Oklahoma City, OK 73104 | 2015-05-15 |
| 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 |
| 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 |
410 CHURCH ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841283074 | Coralie Ann Pederson | Nurse Practitioner | 410 Church St Se, Minneapolis, MN 55455-0222 | 2005-08-23 |
| 1073155438 | Chee Her | Social Worker | 410 Church St Se, Minneapolis, MN 55455-0222 | 2019-10-16 |
| 1447802236 | Seth Christman | Psychologist | 410 Church St Se, Minneapolis, MN 55455-0222 | 2019-07-11 |
| 1073085718 | Cassandra Patricia Price | Social Worker | 410 Church St Se, Minneapolis, MN 55455-0222 | 2018-12-19 |
| 1912475450 | Jennifer Arnold | Physical Therapist | 410 Church St Se, Minneapolis, MN 55455-0222 | 2018-11-02 |
| 1033686480 | Emily Rischall Price | Psychologist | 410 Church St Se, Minneapolis, MN 55455-0222 | 2018-10-24 |
| 1790262707 | Hannah Marie Serwe | Social Worker | 410 Church St Se, Minneapolis, MN 55455-0222 | 2018-07-23 |
| 1861908261 | Ann Zedginidze | Counselor | 410 Church St Se, Minneapolis, MN 55455-0222 | 2017-12-20 |
| 1972021368 | Dominic Poulin | Counselor | 410 Church St Se, Minneapolis, MN 55455 | 2017-09-06 |
| 1487175253 | Ben Andrew Mattson | Counselor | 410 Church St Se, Minneapolis, MN 55455-0222 | 2017-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841655156 | Summit Orthopedics, Ltd | Physical Medicine & Rehabilitation | 2800 Chicago Ave Ste 402, Minneapolis, MN 55407-1352 | 2015-12-31 |
| 1053554113 | Kristina R Johnson | Physical Medicine & Rehabilitation | 3428 36th Ave S, Minneapolis, MN 55406-2704 | 2009-04-19 |
| 1659538296 | Mary Ann Ryken | Physical Medicine & Rehabilitation | 3800 Vincent Ave S, Minneapolis, MN 55410-1122 | 2008-05-21 |
| 1558565390 | Kareen A Velez | Physical Medicine & Rehabilitation | 1 Veteran Dr., Va Medical Center, Spinal Cord Injury and Disorder (sci, Minneapolis, MN 55417 | 2007-06-14 |
| 1871603043 | Larisa Stross Kusar | Physical Medicine & Rehabilitation | 1 Veterans Dr # 117, Minneapolis, MN 55417-2309 | 2006-08-30 |
| 1508807884 | Scott Carl Crowe | Physical Medicine & Rehabilitation | Mmc 297, 420 Deleware St Se, Minneapolis, MN 55455 | 2006-06-09 |
| 1588628184 | Jackson W Q Maddux | Physical Medicine & Rehabilitation | 800 E 28th St Ste 1750, Minneapolis, MN 55407 | 2006-04-12 |
| 1922068006 | Marilyn A Thompson | Physical Medicine & Rehabilitation | One Veterans Drive, Minneapolis, MN 55417 | 2006-03-24 |
| 1518931187 | Orlando Charry-rodriquez | Physical Medicine & Rehabilitation | 913 E 26th St Ste 503, Minneapolis, MN 55404-4515 | 2006-02-13 |
| 1003413188 | Brandy Kozitza | Physical Medicine & Rehabilitation | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-02 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.