MR. JAMES TIMOTHY PETERSON (NPI# 1881167633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881167633 |
| Entity Type | Individual |
| Full Name | MR. JAMES TIMOTHY PETERSON |
| Other Name | JAMIE PETERSON |
| Credential | MS, LCGC |
| Practice Address |
3615 Civic Center Blvd Philadelphia PA 19104-4318 |
| Mailing Address |
Mitochondrial Medicine Frontier Program- 10th Floor Arc 3615 Civic Center Blvd Philadelphia PA 19104 |
| Practice Telephone | 2674264961 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 000488 | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679695035 | James Anders Peterson | Pharmacist | 5203 E Coronado Circle, Phoenix, AZ 85044-2336 | 2007-04-05 |
| 1376661272 | James S Peterson | Psychologist | 1400 W Main, Suite 16, Carbondale, IL 62901 | 2007-03-27 |
| 1851447080 | James Joseph Peterson | Dentist | 531 East Broad Street, Westfield, NJ 07090 | 2007-01-29 |
| 1639253529 | James Wilson Peterson | Internal Medicine | 3320 Wake Forest Rd., Suite 200, Raleigh, NC 27609 | 2006-10-25 |
| 1942390927 | James Swanberg Peterson | Dentist | 598 S Denton Tap Rd, #103, Coppell, TX 75019-4004 | 2006-10-13 |
| 1235232505 | James Edward Peterson | Chiropractor | 2615 S Miller St, Suite 108, Santa Maria, CA 93455-1775 | 2006-09-05 |
| 1659338812 | James H Peterson | Otolaryngology | 2528 W 16th St, Greeley, CO 80634-4955 | 2006-04-28 |
| 1154301406 | James F Peterson | Chiropractor | 424 Quincy St, Hancock, MI 49930-1829 | 2006-01-20 |
| 1194707158 | James E Peterson | Internal Medicine | 19 Depot St, Suite 1, Adams, MA 01220-1856 | 2005-11-16 |
| 1376545863 | James Allen Kraft Peterson | Radiology | 145 Oak Meadow Rd, Sierra Madre, CA 91024-2661 | 2005-08-15 |
| Street Address |
3615 CIVIC CENTER BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265485379 | Jake Alden Kushner | Pediatrics | 3615 Civic Center Blvd, Chop Endocrine, Arc 802c, Philadelphia, PA 19104-4318 | 2006-05-18 |
| 1073961595 | Alyssa Lee Ritter | Genetic Counselor, MS | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2016-05-25 |
| 1124424601 | Emma Bedoukian | Genetic Counselor, MS | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2014-11-12 |
| 1376949859 | Sarah Elizabeth Noon | Genetic Counselor, MS | 3615 Civic Center Blvd, Abramson Research Center, Rm 1008, Philadelphia, PA 19104-4318 | 2014-11-11 |
| 1295157204 | Jennifer Marie Tarpinian | Genetic Counselor, MS | 3615 Civic Center Blvd, Suite 1008, Philadelphia, PA 19104-4318 | 2014-01-09 |
| 1811237076 | Charles Odion | Dentist | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2013-02-26 |
| 1366757684 | Stacy Woyciechowski | Genetic Counselor, MS | 3615 Civic Center Blvd, Arc Rm. 703e, Philadelphia, PA 19104-4318 | 2010-08-11 |
| 1417262726 | Jennifer Lynn Garbarini | Genetic Counselor, MS | 3615 Civic Center Blvd, Division of Cardiology, Arc 702a, Philadelphia, PA 19104-4318 | 2010-08-11 |
| 1285953869 | Susan E Warrington | Pharmacist | 3615 Civic Center Blvd, Department of Pharmacy, Philadelphia, PA 19104-4318 | 2010-05-22 |
| 1922331222 | Elizabeth Mary Mccormick | Genetic Counselor, MS | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2009-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340941 | Amanda Back | Genetic Counselor, MS | 1100 Walnut St Ste 602, Philadelphia, PA 19107-5563 | 2020-09-10 |
| 1154817534 | Natalie Burrill | Genetic Counselor, MS | 3401 Civic Center Blvd # 6w59, Philadelphia, PA 19104-4319 | 2018-07-09 |
| 1679065643 | Elyse Nicole Ryan | Genetic Counselor, MS | Genetic Diagnostic Laboratory, 3620 Hamilton Walk, Anatomy & Chemistry Bldg, Rm 415, Philadelphia, PA 19104 | 2018-06-05 |
| 1275023640 | Nicolette Sookar | Genetic Counselor, MS | 3930 Chestnut St Fl 3, Philadelphia, PA 19104-3111 | 2018-05-11 |
| 1295187920 | Cara Cacioppo | Genetic Counselor, MS | 3930 Chestnut St, Floor 3, Philadelphia, PA 19104-3111 | 2016-07-06 |
| 1174879571 | Claire Alexis Clark | Genetic Counselor, MS | 1 S Penn Sq Ste 960, Philadelphia, PA 19107 | 2012-08-03 |
| 1811135114 | Van Thanh Fadulu | Genetic Counselor, MS | 833 Chestnut East, Suite 1250, Philadelphia, PA 19107-4419 | 2009-01-26 |
| 1053573014 | Jacquelyn Powers | Genetic Counselor, MS | 523 Pine St 1st Flr, Philadelphia, PA 19106-4102 | 2008-06-30 |
| 1760515423 | Carrie D. Mckenna | Genetic Counselor, MS | Genzyme Genetics, 833 Chestnut Street, Suite 1250, Philadelphia, PA 19107 | 2007-03-13 |
| 1083742787 | Matthew Clark Basham | Genetic Counselor, MS | 833 Chestnut St # 1035, Philadelphia, PA 19107-4414 | 2007-03-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.