DR. JOHN DAVID PETERSON (NPI# 1780985234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780985234 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID PETERSON |
| Credential | DPM |
| Practice Address |
8300 Carmel Ave Ne #501 Albuquerque NM 87122-3147 |
| Mailing Address |
3821 Mount Rainier Dr Ne Albuquerque NM 87111-4356 |
| Practice Telephone | 5057971001 |
| Mailing Telephone | 2766446880 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
59.000337 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO LISCENSE TRAINING CERTIFICATE | 59.000337 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361119 | John Kendall Peterson Jr. | Respiratory Therapist, Registered | 522 Old Colony Rd, South Abington Township, PA 18411-1604 | 2020-06-17 |
| 1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
| 1740567437 | John Peterson | Durable Medical Equipment & Medical Supplies | 23649 Castle Rock, Mission Viejo, CA 92692-1897 | 2011-11-08 |
| 1366738486 | John M Peterson | Optometrist | 545 S Broadway Ste 500, Denver, CO 80209-4076 | 2011-06-27 |
| 1598905929 | John Michael Peterson | Dentist | 12427 S 4000 W, Ste 200, Riverton, UT 84065 | 2009-02-25 |
| 1457476723 | John R Peterson | Dentist | 3207 Saint Paul Blvd, Rochester, NY 14617-3436 | 2007-03-19 |
| 1295875953 | John Gregory Peterson | Dentist | 9201 W Overland Rd, Boise, ID 83709-2502 | 2007-02-08 |
| 1912065483 | John R Peterson | General Practice | 212 S Mill St, Rushford, MN 55971 | 2006-12-05 |
| 1154404226 | John M Peterson | Neuromusculoskeletal Medicine & OMM | 72 Barre St, Montpelier, VT 05602-3508 | 2006-10-23 |
| 1952408577 | John Michael Peterson | Dentist | 349 W Center St, West Bridgewater, MA 02379-1621 | 2006-09-17 |
| Street Address |
8300 CARMEL AVE NE #501 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87122-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448839 | Gerard J Kerbleski | Podiatrist | 8300 Carmel Ave Ne, Ste 501, Albuquerque, NM 87122-3125 | 2005-06-21 |
| 1750704102 | Md for Men, LLC | Urology | 8300 Carmel Ave Ne, Suite 303, Albuquerque, NM 87122-3147 | 2014-01-21 |
| 1922309855 | Len Dental LLC | Dentist | 8300 Carmel Ave Ne, Unit 1,suite102, Albuquerque, NM 87122-3147 | 2010-11-09 |
| 1659460137 | Meckler Pediatric Dentistry | Dentist | 8300 Carmel Ave Ne, Suite 602, Albuquerque, NM 87122-3147 | 2006-10-12 |
| 1528169174 | Lisa King Dds Ms Pa | Dentist | 8300 Carmel Ave Ne, Suite 403, Albuquerque, NM 87122-3147 | 2006-09-26 |
| 1720043151 | Wayne W Kuang | Urology | 8300 Carmel Ave Ne, Ste 303, Albuquerque, NM 87122-3147 | 2006-04-19 |
| 1497745459 | Gary A. Meckler | Dentist | 8300 Carmel Ave Ne, Suite 602, Albuquerque, NM 87122-3147 | 2005-10-21 |
| 1821087941 | Joseph B. Meckler | Dentist | 8300 Carmel Ave Ne, Suite 602, Albuquerque, NM 87122-3147 | 2005-10-20 |
| 1336138684 | Lisa King | Dentist | 8300 Carmel Ave Ne, Suite 403, Albuquerque, NM 87122-3147 | 2005-10-19 |
| 1316943897 | Janet E Simon | Podiatrist | 8300 Carmel Ave Ne, Ste 501, Albuquerque, NM 87122-3125 | 2005-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426988 | Sophia Khalil | Student in an Organized Health Care Education/Training Program | 11128 Jordan Avenue Northeast, Albuquerque, NM 87122 | 2020-01-15 |
| 1457716664 | Raymond Martinez | Pharmacist | 7847 Tramway Ne, Albuquerque, NM 87122 | 2015-12-15 |
| 1891181913 | Paul Wright | Occupational Therapist | 30 Canocito Drive Ne, Albuquerque, NM 87122 | 2015-04-15 |
| 1356736615 | Tracy Pfeifer | Day Training/Habilitation Specialist | 8920 Holly Avenue Ne, Suite 102b, Albuquerque, NM 87122 | 2015-04-03 |
| 1346595071 | Jonathan Harper Kelley | Dentist | 9015 Paseo Del Norte Ne Ste A, Albuquerque, NM 87122 | 2012-07-18 |
| 1639444946 | Charlsey Leigh Mcdonald | Physical Therapist | 7920 Carmel Ave. Ne, Suite 2, Albuquerque, NM 87122 | 2012-03-20 |
| 1235462250 | Pamela Kay Limke | Pharmacist | 12112 Summer Wind Pl Ne, Albuquerque, NM 87122 | 2009-09-09 |
| 1437395332 | High Desert Pedicatrics PC | Pediatrics | 8650 Almeda Boulevard, Ne, Unit 101 E, Albuquerque, NM 87122 | 2008-12-23 |
| 1952427510 | Thomas Harry Heflin | Dentist | 8000 Carmel Ave, Albuquerque, NM 87122 | 2007-03-22 |
| 1497885032 | Thomas H Heflin Dds Pa | Dentist | 8000 Carmel Avenue Ne, Albuquerque, NM 87122 | 2007-03-06 |
| Find all providers in zip 87122 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902335102 | Sandia Foot and Ankle, LLC | Podiatrist | 8224 Louisiana Blvd Ne Ste C, Albuquerque, NM 87113-2108 | 2017-06-09 |
| 1649587676 | Omid Hazini | Podiatrist | 1501 San Pedro S.e., Albuquerque, NM 87108 | 2010-09-13 |
| 1265766992 | Uchenna Chukwurah | Podiatrist | 717 Encino Pl Ne Ste 3, Albuquerque, NM 87102-2623 | 2009-09-29 |
| 1427294982 | Roderick Douglas Farley | Podiatrist | 8001 Merissa Ln Ne, Albuquerque, NM 87122-3763 | 2009-01-05 |
| 1396857355 | Katrine Ann Mitchell | Podiatrist | 10511 Golf Course Road Nw, Suite 103, Albuquerque, NM 87048 | 2006-08-31 |
| 1720077050 | Tommy Gene Roe | Podiatrist | 9412 Indian School Rd Ne, Albuquerque, NM 87112-2878 | 2005-10-19 |
| 1366448839 | Gerard J Kerbleski | Podiatrist | 8300 Carmel Ave Ne, Ste 501, Albuquerque, NM 87122-3125 | 2005-06-21 |
| 1063418556 | Shanti Balkissoon-castillo | Podiatrist | 7700 Menaul Blvd Ne, Ste D, Albuquerque, NM 87110-4639 | 2005-06-21 |
| 1356347835 | Sharon Walston Kobos | Podiatrist | 5111 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2672 | 2005-06-21 |
| 1821613399 | The Foot and Ankle Clinic of Albuquerque, P.C. | Podiatrist | 717 Encino Pl Ne Ste 3, Albuquerque, NM 87102-2623 | 2020-06-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87122 |
Please comment or provide details below to improve the information on DR. JOHN DAVID PETERSON.
| 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.