DR. DARRICK PETERS (NPI# 1750643193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750643193 |
| Entity Type | Individual |
| Full Name | DR. DARRICK PETERS |
| Credential | DO |
| Practice Address |
717 N 190th Plz Ste 1100 Elkhorn NE 68022-3913 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4028151700 |
| Practice Fax Number | 4028151959 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2016-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 1429 | NE | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | BP10044115 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026480100 | 05 | |
| IA | 1750643193 | 05 | |
| NE | 10026301600 | 05 | |
| NE | 47068731799 | 05 |
| Street Address |
717 N 190TH PLZ STE 1100 |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731523 | Kelly Gadwood Behney | Physical Therapist | 717 N 190th Plz, Ste. 2000, Elkhorn, NE 68022-3913 | 2006-02-28 |
| 1275990905 | Joli Hallowell | Physician Assistant | 717 N 190th Plz, Ste. 3100, Elkhorn, NE 68022-3913 | 2016-01-26 |
| 1851789390 | Jennifer Lynn Auxier | Nurse Practitioner | 717 N 190th Plz, Ste 1100, Elkhorn, NE 68022-3913 | 2015-01-07 |
| 1316379340 | Susan M Meier | Nurse Practitioner | 717 N 190th Plz, Ste 3200, Elkhorn, NE 68022-3913 | 2013-08-01 |
| 1306282215 | Amela Hodzic | Registered Nurse | 717 N 190th Plz, Ste 3200, Elkhorn, NE 68022-3913 | 2013-05-17 |
| 1659629756 | Melanie Bussey | Nurse Practitioner | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3913 | 2012-08-21 |
| 1033481312 | Bonnie Wilkerson | Physician Assistant | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3913 | 2012-02-02 |
| 1164708392 | Kathleen Ann Morris | Nurse Practitioner | 717 N 190th Plz, Ste 1100, Elkhorn, NE 68022-3913 | 2011-11-02 |
| 1073891628 | Alicia L. Wachal | Nurse Practitioner | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3913 | 2011-08-01 |
| 1386936326 | Michele L North | Advanced Practice Midwife | 717 N 190th Plz, Ste. 1500, Elkhorn, NE 68022-3913 | 2011-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672860 | Gb Enterprises LLC | Chiropractor | 18924 Evans St., Suite 105, Elkhorn, NE 68022 | 2019-07-31 |
| 1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1124512298 | Akridge and Akridge Chiropractic West, LLC | Chiropractor | 1529 S 203rd St, Suite 3, Elkhorn, NE 68022 | 2018-06-21 |
| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
| 1669871679 | Ashley Hein | Speech-Language Pathologist | 4103 N 194th St, Elkhorn, NE 68022 | 2014-08-14 |
| 1710249701 | Peter Edwin Harbert | Dentist | 18101 Chicago Street, Suite #107, Omaha, NE 68022 | 2012-06-14 |
| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
| Find all providers in zip 68022 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235335399 | Christine D Vo | Obstetrics & Gynecology | 717 N 190th Plz Ste 1100, Elkhorn, NE 68022 | 2007-06-26 |
| 1073678439 | Neil A Hamill | Obstetrics & Gynecology | 717 No. 190th Plaza, Suite 2400, Elkhorn, NE 68022-3986 | 2006-12-26 |
| 1396755724 | Kristin Elise Rooney | Obstetrics & Gynecology | 3910 S 225th Cir, Elkhorn, NE 68022-2415 | 2006-08-08 |
| 1558743229 | Claire Markham | Obstetrics & Gynecology | 717 N 190th Plz Ste 1100, Elkhorn, NE 68022-3917 | 2015-06-18 |
| 1972997344 | Nichole Lea Adami | Obstetrics & Gynecology | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2015-03-24 |
| 1265660302 | Abigail Ariel Delaney | Obstetrics & Gynecology | 717 N 190th Plz, Suite 2500, Elkhorn, NE 68022-3913 | 2009-06-27 |
| 1558523134 | Emily Marie Patel | Obstetrics & Gynecology | 717 N 190th Plz, Suite 2400, Elkhorn, NE 68022-3913 | 2008-06-25 |
| 1528220209 | Jessica Nicole Bracken | Obstetrics & Gynecology | 717 N 190th Plz, Ste. # 1100, Elkhorn, NE 68022-3913 | 2008-06-25 |
| 1639369572 | Brianne Michelle Kling | Obstetrics & Gynecology | 717 N 190th Plz, Ste. 1100, Elkhorn, NE 68022-3917 | 2007-07-26 |
| 1538367040 | Brendan D Connealy | Obstetrics & Gynecology | 717 N 190th Plz, Suite 2400, Elkhorn, NE 68022-3913 | 2007-07-05 |
| Find all providers in ELKHORN | ||||
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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.