DR. WILLIAM G. PETERSEN


Address: 2401 S 31st St, Temple, TX 76508-0001
Phone: 2547242111

DR. WILLIAM G. PETERSEN (NPI# 1770544579) 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) 1770544579
Entity Type Individual
Full Name DR. WILLIAM G. PETERSEN
Credential M.D.
Practice Address 2401 S 31st St
Temple
TX 76508-0001
Mailing Address Po Box 847408
Dallas
TX 75284-7408
Practice Telephone 2547242111
Mailing Telephone 2547242111
Enumeration Date 2006-03-31
Last Update Date 2007-07-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
G5477 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE SHIELD 807638 01

Other Providers WILLIAM PETERSEN

NPI Name Taxonomy Address Enumeration
1124207808 William Frank Petersen Pharmacist 8 Magenta Ln, East Northport, NY 11731-5116 2007-10-30
1477690105 William Loftin Petersen Optometrist 34179 Golden Lantern St, Suite 201, Dana Point, CA 92629-2800 2007-01-31
1225050891 William M Petersen Family Medicine 614 Michigan Ave, Walker, MN 56484-1390 2006-07-24
1003250887 William Patrick Petersen Jr. Orthopaedic Surgery 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 2013-04-23
1336276948 William Marc Petersen Dentist 2532 W Francis Ave, Spokane, WA 99205-7012 2007-02-28
1801933197 William Carl Petersen Jr. Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2007-01-30
1124109400 William C Petersen Psychologist 5351 Delmar Blvd, Saint Louis, MO 63112-3146 2006-10-17
1902912504 William L Petersen Ophthalmology 48 Main St, Massena, NY 13662-1984 2006-08-23
1881709079 William A Petersen Pediatrics 10 Century Hill Dr, Latham, NY 12110-2162 2006-08-20
1285674317 William C Petersen Anesthesiology 601 Childrens Ln, Norfolk, VA 23507-1910 2006-06-07

Office Location

Street Address 2401 S 31ST ST
City TEMPLE
State TX
Zip Code 76508-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487650651 Kathleen G Halka Internal Medicine 2401 S 31st St, Temple, TX 76508 2005-06-22
1720689060 Christy Evans Pharmacist 2401 S 31st St, Temple, TX 76508-0001 2020-11-03
1588264683 Giuseppe Tavilla Surgery 2401 S 31st St, Temple, TX 76508-0001 2020-10-28
1942809884 Crystal Das Student in an Organized Health Care Education/Training Program 2401 S 31st St, Temple, TX 76508-0001 2020-10-21
1730795766 Joshua R Ledezma Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2020-09-15
1437762069 Caroline Stanley Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2020-08-24
1841809191 Deanette James Registered Nurse 2401 S 31st St, Temple, TX 76508-0001 2020-07-23
1285259309 Amanda Lea Johnson Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2020-06-15
1013539758 Brittany Ellis Physical Therapist 2401 S 31st St, Temple, TX 76508-0001 2020-05-15
1114549508 Matthew Marvin Galland Pharmacist 2401 S 31st St, Temple, TX 76508-0001 2020-05-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619596491 Samuel Adrian Matthys Student in an Organized Health Care Education/Training Program 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 2020-04-13
1700414968 Darshan Patel Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 2020-03-31
1992332134 Kiersi Harmon Student in an Organized Health Care Education/Training Program 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 2020-03-26
1053948851 Christian Beltran Student in an Organized Health Care Education/Training Program 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 2020-03-24
1790311850 Chinyere Ashley Onyirimba Student in an Organized Health Care Education/Training Program Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 2020-03-19
1578022398 Kedric Glenn Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 2019-03-19
1518426592 Muhammad Imran Bhatti Student in an Organized Health Care Education/Training Program Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 2019-03-18
1780143883 Nathaniel Clayton Palmer Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 2019-03-18
1235620741 Fahmida Musharof Student in an Organized Health Care Education/Training Program 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 2018-05-21
1275038325 Robert Casey Alan Finch Student in an Organized Health Care Education/Training Program 2401 S 31st St, Ms-ck-300, Temple, TX 76508 2018-03-29
Find all providers in zip 76508

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114938669 Stephen Marc Calhoun Internal Medicine 1901 S. 1st Street, Temple, TX 76504-9976 2006-08-10
1740691740 Tasnim Lat Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2014-05-13
1992124325 Joseph Patrick Carlin Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2014-04-14
1265876254 Jemina Morales Internal Medicine 2401 S 31st St, Temple, TX 76508-2536 2013-04-22
1518232990 Veronica Brito Internal Medicine 2401 S 31st St, Temple, TX 76508-3800 2012-03-19
1598729113 Alejandro C Arroliga Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2006-04-12
1841251642 Francisco Perez-guerra Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2006-03-31
1942261896 Jeana D. Obrien Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2006-03-30
1376503748 Dennis L. Myers Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2006-03-28
1033179262 Richard Beckendorf Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 2006-03-23
Find all providers in TEMPLE

Competitor

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City TEMPLE
Zip Code 76508

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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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