DAVID C PETERSON (NPI# 1780760868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780760868 |
Entity Type | Individual |
Full Name | DAVID C PETERSON |
Credential | DPM |
Practice Address |
323 S Minnesota St Crookston MN 56716-1601 |
Mailing Address |
11823 Maple Lake Dr Se Mentor MN 56736-9443 |
Practice Telephone | 2182819556 |
Mailing Telephone | 2185742220 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2008-01-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
301 | MN | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
301 | MN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS MN | 597S9PE | 01 |
DMERC | 0921200001 | 01 | |
ND | BCBS | 26801 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
1386070647 | David Michael Peterson | Pharmacist | 1200 W Gold St, Butte, MT 59701-2110 | 2013-09-18 |
1427336601 | David James Peterson | Physical Therapist | 59 Akea Pl, Kula, HI 96790-8501 | 2011-07-22 |
1386858942 | David Brian Peterson | Psychologist | 460 Oak St, Apt 115, Glendale, CA 91204-1265 | 2007-05-10 |
1851412241 | David Peterson | Chiropractor | 17331 Penn Valley Dr, Penn Valley, CA 95946-9340 | 2007-04-03 |
1487716783 | David Norman Peterson | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2006-12-14 |
1033279484 | David Eugene Peterson | Dentist | 17267 W 3rd St, Sddc, Redfield, SD 57469-1001 | 2006-12-08 |
1801968359 | David Scott Peterson | Psychiatry & Neurology | 1345 East 3900 South Ste 208, Salt Lake City, UT 84124-4416 | 2006-11-13 |
1104905272 | David Hedden Peterson | Social Worker | 222 9th Ave W, Alexandria, MN 56308-2221 | 2006-11-02 |
1932284031 | David Donald Peterson | Counselor | 318 E Main St # 106, Battle Ground, WA 98604-8508 | 2006-10-26 |
Street Address |
323 S MINNESOTA ST |
City | CROOKSTON |
State | MN |
Zip Code | 56716-1601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164492716 | Lance Michael Norman | Occupational Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2006-01-25 |
1538786207 | Forrest Laporte | Nurse Practitioner | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-06-29 |
1003437369 | Samantha Brentrup | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-04-28 |
1275091282 | Kelsey Billing | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2019-03-08 |
1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
1417430588 | Monica Annette Wells | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-13 |
1043799612 | Braydon Gourneau | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-14 |
1952880668 | Shelby Knott | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-13 |
1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
1194204610 | Rhonda June Salentiny | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
1821533035 | Lauren Shalane Wagendorf | Counselor | 603 Bruce St, Crookston, MN 56716 | 2016-12-23 |
1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
1114270550 | William T Erickson | Dentist | 1726 University Ave, Crookston, MN 56716 | 2012-10-23 |
Find all providers in zip 56716 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
1568595783 | Stephen Bryan Wahman | Podiatrist | 1575 Sherwood Rd, Shoreview, MN 55126-8517 | 2007-03-14 |
1760465215 | Minh Chau Margaret Nguyen | Podiatrist | 7600 France Ave S Ste 1100, Edina, MN 55435-5924 | 2005-11-29 |
1689655722 | Michael B Debrule | Podiatrist | 6600 Lyndale Ave S, Suite#130, Richfield, MN 55423-3380 | 2005-11-07 |
1649279753 | Thomas Joseph Holsinger | Podiatrist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2005-07-20 |
1558898114 | Kristofor James Kalvig | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2017-05-15 |
1740544527 | Aaron Daniel Corfield | Podiatrist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2012-06-27 |
1912286964 | Otter Tail Podiatry P.C. | Podiatrist | 120 E Junius Ave, Fergus Falls, MN 56537-2819 | 2011-08-09 |
1134412802 | Karimah Z Shabazz | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2011-05-27 |
1760614390 | Alissa Joy Redding | Podiatrist | 417 Franklin St S, Glenwood, MN 56334-1598 | 2009-08-15 |
Find all providers with the same taxonomy |
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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.