JENNIFER S PETERSON (NPI# 1700841178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700841178 |
| Entity Type | Individual |
| Full Name | JENNIFER S PETERSON |
| Credential | MD |
| Practice Address |
1204 Joseph St # 2 Dodgeville WI 53533-9670 |
| Practice Telephone | 6085745044 |
| Mailing Telephone | 6085745044 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 41433-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
41433-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH INSURANCE | 9990 | 01 |
| WI | PHYSICIANS PLUS | 1040967 | 01 |
| WI | 34220800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1801428065 | Jennifer R Peterson | Counselor | 808 E 7th St, Atlantic, IA 50022-1805 | 2020-02-06 |
| 1093229577 | Jennifer Catherine Peterson | Nurse Practitioner | 5561 Nw 49th Way, Coconut Creek, FL 33073-3725 | 2017-11-20 |
| 1851796411 | Jennifer Peterson | Physical Therapist | 4509 Normandy St, Bismarck, ND 58503-5645 | 2014-10-24 |
| 1821339805 | Jennifer Peterson | Licensed Practical Nurse | 68 Howard Ln, Tonawanda, NY 14150-8125 | 2013-03-15 |
| 1740556331 | Jennifer Peterson | Massage Therapist | 14 S Dakota St, Butte, MT 59701-2003 | 2012-03-28 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1639481963 | Jennifer May Peterson | Massage Therapist | 3617 Woodland Park Ave N Apt 8, Seattle, WA 98103-7945 | 2010-07-01 |
| 1992937650 | Jennifer Christine Peterson | Occupational Therapist | 3837 Cardinal Oaks Cir, Orange Park, FL 32065-4251 | 2009-08-13 |
| 1891963401 | Jennifer Peterson | Massage Therapist | 6424 158th Street Ct E, Puyallup, WA 98375-7410 | 2008-02-16 |
| Street Address |
1204 JOSEPH ST # 2 |
| City | DODGEVILLE |
| State | WI |
| Zip Code | 53533-9670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023406493 | Peterson Dermatology, S.c. | Dermatology | 1204 Joseph St # 2, Dodgeville, WI 53533-9670 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437361706 | Jeffrey Scott Wilton | Dentist | 103 E Fountain St, Dodgeville, WI 53533 | 2007-05-07 |
| 1134253420 | Southwest Dental Associates, S.c. | Clinic/Center | 1208 Joseph Street, Dodgeville, WI 53533 | 2007-03-16 |
| 1750420170 | Michael Charles Fisher | Dentist | 1208 North Joseph Street, Dodgeville, WI 53533 | 2007-02-05 |
| 1225191901 | Wal-mart Stores East, Lp | Technician/Technologist | 601 Leffler St., Dodgeville, WI 53533 | 2006-12-18 |
| 1164458626 | Laura Jean Gjestson | Counselor | 829 S Iowa St, Dodgeville, WI 53533 | 2006-06-24 |
| 1235602517 | Lauren Rae Bakken Olinger | Respiratory Therapist, Registered | 800 Compassion Way, Cardio Pulmonary, Dodgeville, WI 53533 | 2019-01-09 |
| 1124400627 | Katherine J Ponsler | Physician Assistant | 833 S Iowa St, Ste 102, Dodgeville, WI 53533 | 2015-06-22 |
| 1326458803 | Jenifer Lynn Dankyi | Obstetrics & Gynecology | 800 Compassion Way, Dodgeville, WI 53533 | 2014-05-06 |
| 1063430593 | Young I Kim | Surgery | 833 S Iowa St, Suite 106, Dodgeville, WI 53533 | 2006-07-17 |
| 1417226325 | Jaimee Jordan | Dietitian, Registered | 800 Compassion Way, Dodgeville, WI 53533-0800 | 2011-12-21 |
| Find all providers in zip 53533 | ||||
| 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 |
|---|---|---|---|---|
| 1023406493 | Peterson Dermatology, S.c. | Dermatology | 1204 Joseph St # 2, Dodgeville, WI 53533-9670 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers with the same taxonomy | ||||
| City | DODGEVILLE |
| Zip Code | 53533 |
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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.