STEPHANIE C PETERSON (NPI# 1770708232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770708232 |
| Entity Type | Individual |
| Full Name | STEPHANIE C PETERSON |
| Credential | PA |
| Practice Address |
2750 Laurel St Ste 303 Columbia SC 29204-2025 |
| Practice Telephone | 8032521953 |
| Practice Fax Number | 8032176750 |
| Mailing Telephone | 8032521953 |
| Mailing Fax Number | 8032176750 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2017-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1204 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 117698 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205497534 | Stephanie Mt Peterson | Registered Nurse | 1401 Okeeffe Ave Apt 313, Sun Prairie, WI 53590-7072 | 2019-06-26 |
| 1821514860 | Stephanie Leigh Peterson | Physical Therapist | 1029 Powderhorn Rd, Simpsonville, SC 29681-3379 | 2017-08-22 |
| 1992256788 | Stephanie Peterson | Physical Therapy Assistant | 3505 County Road Y, Sheboygan, WI 53083-2400 | 2016-10-17 |
| 1912257130 | Stephanie Marie Peterson | Behavioral Analyst | 11583 S. 8th St., Schoolcraft, MI 49087 | 2012-09-14 |
| 1275841462 | Stephanie J Peterson | Massage Therapist | 45 Alabama Rd N Ste 1, Lehigh Acres, FL 33936-6829 | 2010-09-22 |
| 1073753240 | Stephanie Peterson | Nurse Practitioner | 716 Waverly St Unit B, Houston, TX 77007-1407 | 2009-03-02 |
| 1518515022 | Stephanie Peterson | Counselor | 635 W Willie Morris Pkwy, Yazoo City, MS 39194-7702 | 2019-08-28 |
| 1578118105 | Stephanie Peterson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-08-09 |
| 1700431590 | Stephanie Kay Peterson | Nurse Practitioner | 4885 Eldorado Pkwy, Frisco, TX 75033-8662 | 2019-08-08 |
| 1033672621 | Stephanie Slorahn Peterson | Social Worker | 69 Bay Bridge Dr Ste G, Gulf Breeze, FL 32561-4468 | 2019-04-10 |
| Street Address |
2750 LAUREL ST STE 303 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548221864 | Vaughn R Barnick | Internal Medicine | 2750 Laurel St Ste 303, Columbia, SC 29204-2025 | 2006-03-28 |
| 1366835787 | Whitney Pellicci Pitts | Nurse Practitioner | 2750 Laurel St Ste 303, Columbia, SC 29204-2025 | 2015-03-10 |
| 1518245950 | Holly Kristin Smith | Internal Medicine | 2750 Laurel St Ste 303, Columbia, SC 29204-2025 | 2011-08-03 |
| 1841251691 | Jerry Wayne Robinson | Internal Medicine | 2750 Laurel St Ste 303, Columbia, SC 29204-2025 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500691 | Ivanka M Mora | Physician Assistant | 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 | 2020-02-18 |
| 1316579287 | Christina Verzi | Physician Assistant | 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 | 2020-02-10 |
| 1225668064 | Steven Ebers | Physician Assistant | 1201 International Dr, Columbia, MO 65202-1612 | 2020-01-21 |
| 1780228197 | Jeremy M Barth | Physician Assistant | 5886 Morningbird Ln, Columbia, MD 21045-3508 | 2019-10-30 |
| 1730749920 | Ann Marie Schlafly | Physician Assistant | 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 | 2019-06-19 |
| 1619532363 | Casey Burner Skinner | Physician Assistant | 2126 Tugaloo Ave, Columbia, SC 29205-3330 | 2019-05-08 |
| 1205491040 | Meghan Catherine Monk | Physician Assistant | 229 Route 87, Columbia, CT 06237-1050 | 2019-05-07 |
| 1124594999 | Candace Rachel Skulkety | Physician Assistant | 612 Whaley St Apt 348, Columbia, SC 29201-6329 | 2018-10-19 |
| 1508346396 | Hannah Marie Dewes | Physician Assistant | 3 Medical Park Rd #310, Columbia, SC 29203 | 2018-08-21 |
| 1295236438 | Helen Mckinney | Physician Assistant | 234 Castlebury Dr, Columbia, SC 29229-7566 | 2018-02-22 |
| Find all providers in COLUMBIA | ||||
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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.