DR. EMILY LARA PETERSEN (NPI# 1750414447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750414447 |
| Entity Type | Individual |
| Full Name | DR. EMILY LARA PETERSEN |
| Other Name | EMILY LARA CORKILL |
| Credential | MD |
| Practice Address |
700 W Ironwood Dr Ste 375 Coeur D Alene ID 83814-4401 |
| Mailing Address |
Po Box 3649 Spokane WA 99220 |
| Practice Telephone | 2086256100 |
| Mailing Telephone | 5098382531 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 6027146-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
M-11299 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891131272 | Emily Petersen | Psychologist | 5691 Columbia Pike Ste 200, Falls Church, VA 22041-2888 | 2013-05-13 |
| 1447487772 | Emily Carter Petersen | Counselor | 8806 Nc Highway 87, Reidsville, NC 27320-7363 | 2009-06-13 |
| 1982191896 | Emily Petersen | Occupational Therapist | 1230 Bridge St, Lowell, MA 01850-1291 | 2018-04-16 |
| 1396180121 | Emily Walker Petersen | Anesthesiology | 1515 Holcombe Blvd, Houston, TX 77030 | 2013-05-07 |
| 1174753495 | Emily Petersen | Obstetrics & Gynecology | 80 Jesse Hill Jr Dr Se, Emory Department of Gynecology & Obstetrics, Atlanta, GA 30303 | 2009-07-21 |
| Street Address |
700 W IRONWOOD DR STE 375 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484701 | Amanda L Fiola | Physician Assistant | 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 | 2005-08-17 |
| 1720240401 | Calista D Comstock | Physician Assistant | 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 | 2008-06-25 |
| 1447452578 | Scott David Bieber | Internal Medicine | 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814 | 2007-06-01 |
| 1427182781 | Casey Lee Cotant | Internal Medicine | 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 | 2007-03-16 |
| 1265425532 | Brendan A Mielke | Internal Medicine | 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1447452578 | Scott David Bieber | Internal Medicine | 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814 | 2007-06-01 |
| 1427182781 | Casey Lee Cotant | Internal Medicine | 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 | 2007-03-16 |
| 1265425532 | Brendan A Mielke | Internal Medicine | 700 W Ironwood Dr Ste 375, Coeur D Alene, ID 83814-4401 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144887050 | St Michael Nephrology, Pllc | Internal Medicine | 1674 S Loggers Pond Pl Apt 14, Boise, ID 83706-7517 | 2019-05-26 |
| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1033483052 | Magic Valley Kidney Institute LLP | Internal Medicine | 350 N Haven St Ste 200, Twin Falls, ID 83301-5788 | 2012-03-08 |
| 1063719292 | St Clair Specialty Physicians | Internal Medicine | 5610 Gage Street, Suite A, Boise, ID 83706 | 2011-02-24 |
| 1558680587 | Brian Doxey Snow | Internal Medicine | 4424 E Flamingo Ave Ste 340, Nampa, ID 83687-9306 | 2010-06-01 |
| 1497931893 | Mark David Poirier | Internal Medicine | 5610 W Gage St Ste A, Boise, ID 83706 | 2008-01-15 |
| 1609952381 | Ajith J Kumar | Internal Medicine | 2124 12th Ave, Lewiston, ID 83501-3502 | 2006-10-27 |
| 1154406437 | Robert C Dobrowolski | Internal Medicine | 2131 S. Bonito Way, Meridian, ID 83642 | 2006-10-26 |
| 1235151077 | Vashu Deoomal Thakur | Internal Medicine | 166 S 5th St, Montpelier, ID 83254-1557 | 2006-07-24 |
| 1780621771 | Nicholas C Hunt I | Internal Medicine | 5610 W Gage St, Suite A, Boise, ID 83706-1349 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.