DONALD DUANE PETERSON (NPI# 1689610453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689610453 |
| Entity Type | Individual |
| Full Name | DONALD DUANE PETERSON |
| Credential | M.D. |
| Practice Address |
100 E Lancaster Ave Suite 230 Wynnewood PA 19096-3450 |
| Practice Telephone | 6106423796 |
| Practice Fax Number | 6106422943 |
| Mailing Telephone | 6106423796 |
| Mailing Fax Number | 6106422943 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2012-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD018380E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006844420001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134931 | Donald P Peterson | Dentist | 11855 Holly Ln, Suite #103, Waldorf, MD 20601-3114 | 2007-04-20 |
| 1609935097 | Donald Joseph Peterson | Dentist | 1579 Hamline Ave N, Falcon Heights, MN 55108-2107 | 2006-12-08 |
| 1700809878 | Donald R Peterson II | Surgery | 4219 Buchanan Dr, Fair Oaks, CA 95628-6105 | 2006-07-26 |
| 1649206558 | Donald Thorgeir Peterson | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797-1212 | 2006-06-23 |
| 1780678193 | Donald Peterson | Physical Therapist | 1503 Washington Ln, Augusta, KS 67010-1638 | 2005-08-31 |
| 1215939137 | Donald Leon Peterson | Optometrist | 813 Sw Highland Ave, Redmond, OR 97756-3123 | 2005-08-11 |
| 1396743548 | Donald Douglas Peterson | Urology | 408 8th St, 1st Floor, North Wilkesboro, NC 28659-4167 | 2005-07-12 |
| 1104821362 | Donald Albert Peterson | Chiropractor | 835 Highway 105, Suite A, Palmer Lake, CO 80133-9069 | 2005-06-15 |
| 1235282674 | Donald G Peterson | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 | 2007-01-19 |
| 1821159864 | Donald L. Peterson Jr. | Family Medicine | 151 Meadowcrest St, Suite C, Gretna, LA 70056-5256 | 2006-12-13 |
| Street Address |
100 E LANCASTER AVE SUITE 230 |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1447858725 | Anthony Montello | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-09 |
| 1982216107 | Delaware Valley I.d. Associates, P.C. | Clinic/Center | 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096 | 2020-08-19 |
| 1831708551 | Farouk Al Chami | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1225647944 | Farah Olleik | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1134738859 | Talar Telvizian | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1962011833 | Fares Sukhon | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-27 |
| 1700494028 | Aviad Lavian | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-22 |
| 1700404472 | Dalia Amrom | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962688564 | William Fineman | Internal Medicine | 259 Barwynne Rd, Wynnewood, PA 19096-3302 | 2008-01-14 |
| 1659434165 | Eliot B Friedman | Internal Medicine | 100 E Lancaster Ave Ste 230, Wynnewood, PA 19096-3451 | 2006-12-18 |
| 1417113325 | Jacqueline Burlett Sutter | Internal Medicine | 100 E Lancaster Ave Ste 230, Wynnewood, PA 19096 | 2008-07-30 |
| 1164457602 | Leah Lande | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-07-12 |
| 1649205386 | Rochelle Goldberg | Internal Medicine | 100 E Lancaster Ave, Pulmonology Associates Suite 230, Wynnewood, PA 19096-3450 | 2006-07-11 |
| 1437180742 | Pulmonology Associates Inc | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-07-05 |
| 1881625218 | Howard Todd Lustine | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-07-05 |
| 1700812641 | Thomas J Meyer | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-06-23 |
| 1619913308 | Susan A Gregory | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-06-21 |
| 1669416640 | Catherine L Kuntz | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-06-16 |
| Find all providers in WYNNEWOOD | ||||
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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.