ANN E. PETERSON


Address: 1223 Gateway Dr, Melbourne, FL 32901-2607
Phone: 3212544900

ANN E. PETERSON (NPI# 1720062748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720062748
Entity Type Individual
Full Name ANN E. PETERSON
Credential MD
Practice Address 1223 Gateway Dr
Melbourne
FL 32901-2607
Practice Telephone 3212544900
Practice Fax Number 3216749196
Mailing Telephone 3212544900
Mailing Fax Number 3216749196
Enumeration Date 2005-12-02
Last Update Date 2010-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME49386 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 376632200 05
FL RR MEDICARE P00308119 01

Other Providers ANN PETERSON

NPI Name Taxonomy Address Enumeration
1104181445 Ann Peterson Registered Nurse 2 Daly Rd, Medford, MA 02155-3702 2012-07-12
1154545465 Ann M. Peterson Nurse Practitioner 851 Leonard Fulghum Blvd., Ste. 101, Mount Pleasant, SC 29464 2007-04-11
1093889362 Ann Marie Peterson Acupuncturist 12 Elk Mountain Rd, Asheville, NC 28804-2106 2006-11-20
1083003081 Ann Peterson Chiropractor 615 Main St # 768, Frankfort, MI 49635-9806 2015-01-13
1861823528 Ann Peterson Dietitian, Registered 1221 Whipple St, Eau Claire, WI 54703 2013-12-06
1063621571 Ann Peterson Specialist 280 Exempla Cir, Lafayette, CO 80026-3370 2007-05-21
1811019672 Ann Kathryn Peterson Nurse Practitioner 2239 S 108th St, West Allis, WI 53227-1107 2007-04-04
1134291008 Ann M Peterson Social Worker 209 Park Street, Citizen Advocates, Inc., Malone, NY 12953 2006-11-15

Office Location

Street Address 1223 GATEWAY DR
City MELBOURNE
State FL
Zip Code 32901-2607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376537373 Rajiv Bhambri Internal Medicine 1223 Gateway Dr, Melbourne, FL 32901 2005-09-06
1538727300 Barbara Litt Registered Nurse 1223 Gateway Dr, Melbourne, FL 32901-2607 2019-06-05
1194383034 Lara Sexton Anzalone Registered Nurse 1223 Gateway Dr, Melbourne, FL 32901-2607 2019-06-05
1184101883 Amber Elmore Nurse Practitioner 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-07-25
1649765843 Health First Medical Group, LLC Internal Medicine 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-06-29
1134613847 Sara Gaffney Audiologist 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-06-16
1134673049 Karen Bransky Nurse Practitioner 1223 Gateway Dr, Suite G, Melbourne, FL 32901-2607 2016-08-09
1598113755 Jason Dickey Pharmacist 1223 Gateway Dr, Melbourne, FL 32901-2607 2016-05-28
1598129397 Danielle L Dillon Gannon Nurse Practitioner 1223 Gateway Dr, Suite E, Melbourne, FL 32901-2607 2016-04-07
1619374436 Holmes Regional Medical Center, Inc. Pharmacy 1223 Gateway Dr, Melbourne, FL 32901-2607 2014-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558970277 Kimberly Gayle Ross Family Medicine 1919 Slone Blvd, Melbourne, FL 32935-4756 2020-07-28
1245706423 Vargas Medical Services LLC Family Medicine 606 Sheridan Rd, Melbourne, FL 32901-3227 2018-10-16
1013467554 First Locums Inc Family Medicine 3248 Cortona Dr, Melbourne, FL 32940-8613 2016-10-07
1922327774 Angela Matthews Family Medicine 2694 Judge Fran Jamieson Way, Overflow Parking Lot, Melbourne, FL 32940 2010-05-19
1013197201 Lauren Romeo Md Pa Family Medicine 1698 W Hibiscus Blvd Ste B, Melbourne, FL 32901-2639 2007-11-06
1023220605 Marta Cyzio Family Medicine 1368 Tipperary Dr, Melbourne, FL 32940-6030 2007-05-04
1578787941 Donna J. Badolato, Md, Pa Family Medicine 8061 Spyglass Hill Rd., Suite 102, Melbourne, FL 32940 2007-04-13
1801914858 Marilyn C. Moss, M.d. Family Medicine 3210 N Wickham Rd, Suite 1, Melbourne, FL 32935-2300 2007-03-27
1639217870 Kenneth Robert Mcelynn Family Medicine 7925 N Wickham Rd Ste B, Melbourne, FL 32940-8211 2007-02-01
1760568935 Kristine R Everding Family Medicine 2002 Pennwood Dr, Melbourne, FL 32901-5934 2006-10-31
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32901

Improve Information

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Dataset Information

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.

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