RALPH G PETERSON (NPI# 1770511008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770511008 |
| Entity Type | Individual |
| Full Name | RALPH G PETERSON |
| Credential | PA |
| Practice Address |
1410 Oak St Suite 200 Eugene OR 97401-4604 |
| Practice Telephone | 5414852357 |
| Practice Fax Number | 5414852358 |
| Mailing Telephone | 5414852357 |
| Mailing Fax Number | 5414852358 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00258 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851311104 | Ralph L Peterson | Internal Medicine | 10520 Macarthur Blvd, Oakland, CA 94605-5248 | 2006-07-20 |
| Street Address |
1410 OAK ST SUITE 200 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800733 | Jonathan D Sherman | Neurological Surgery | 1410 Oak St, Suite 200, Eugene, OR 97401-4604 | 2005-06-09 |
| 1457703241 | Hale Men's Clinic, LLC | Clinic/Center | 1410 Oak St, Suite 101, Eugene, OR 97401-4604 | 2016-07-06 |
| 1518332915 | Northwest Neuro Nerve Monitoring | Specialist/Technologist, Other | 1410 Oak St, Ste 100b, Eugene, OR 97401-4604 | 2015-12-10 |
| 1134593064 | Valerie Jackson | Specialist/Technologist, Other | 1410 Oak St, Ste 100b, Eugene, OR 97401-4604 | 2015-11-16 |
| 1992180137 | Pax Anesthesia, LLC | Anesthesiology | 1410 Oak St, Eugene, OR 97401-4604 | 2015-07-29 |
| 1063896603 | Avante, LLC | Surgery | 1410 Oak St, Ste 101, Eugene, OR 97401-4604 | 2015-07-14 |
| 1407119886 | Allegiance Medical, Corp | Durable Medical Equipment & Medical Supplies | 1410 Oak St, Attn: Kurtis M. Doerr Allegiance Medical, LLC, Eugene, OR 97401-4604 | 2012-06-20 |
| 1255604690 | Prohealth Family Medicine | Family Medicine | 1410 Oak St, Suite 102, Eugene, OR 97401-4604 | 2012-02-15 |
| 1841581048 | Northwest Neuro Nerve Monitoring, LLC | Technician, Other | 1410 Oak St, Suite 100b, Eugene, OR 97401-4604 | 2011-04-22 |
| 1215194980 | Andrea L. Halliday, M.d., P.C. | Clinic/Center | 1410 Oak St, Eugene, OR 97401-4604 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1932659992 | John Stanievich Jr. | Physician Assistant | 55 Coburg Rd, Eugene, OR 97401-2433 | 2016-10-13 |
| 1396049755 | Sean Fallon | Physician Assistant | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2010-12-28 |
| 1740448950 | Karrie Johnson | Physician Assistant | 55 Coburg Rd, Eugene, OR 97401 | 2008-05-26 |
| 1467653378 | Jason Allen Kocian | Physician Assistant | 1410 Oak St, Suite 200, Eugene, OR 97401-4604 | 2007-05-29 |
| 1184634594 | Debra Roth | Physician Assistant | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2006-08-08 |
| 1679594089 | Dana Kathryn Rubin | Physician Assistant | 74b Centennial Loop Ste 100, Eugene, OR 97401-7919 | 2006-07-21 |
| 1417975178 | James G Suiter | Physician Assistant | 74b Centennial Loop, Suite 100, Eugene, OR 97401-7918 | 2006-07-18 |
| 1497783732 | David L German | Physician Assistant | 1255 Hilyard St, Eugene, OR 97401-3718 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1801321039 | Devin Fleming | Physician Assistant | 22936 Ne Pike St, Troutdale, OR 97060-2615 | 2017-04-25 |
| 1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
| 1285922641 | Full Circle Ventures, LLC | Physician Assistant | 62806 Baskin Ct, Bend, OR 97701-9565 | 2011-07-19 |
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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.