LAURA ALICE PETERSON (NPI# 1881853307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881853307 |
| Entity Type | Individual |
| Full Name | LAURA ALICE PETERSON |
| Credential | MD |
| Practice Address |
2300 Miami Valley Dr Ste 350 Centerville OH 45459 |
| Mailing Address |
3170 Kettering Blvd Bldg B3 Moraine OH 45439-1924 |
| Practice Telephone | 9374388640 |
| Practice Fax Number | 9374388615 |
| Mailing Telephone | 9379913188 |
| Mailing Fax Number | 9372239811 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 35.096139 | OH | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35-096139 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0159725 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 E Apple St, Ste 5253, Dayton, OH 454092939 | 9372082552 | 9372086154 |
| 3130 N County Road 25a Ste 214, Troy, OH 453731337 | 9374388640 | 9374388615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609381474 | Laura Peterson | Behavior Technician | 155 Garden Dr, South Plainfield, NJ 07080-2952 | 2017-12-02 |
| 1144731613 | Laura Lynn Peterson | Counselor | 24381 E Moraine Pl, Aurora, CO 80016-1376 | 2017-10-23 |
| 1962864363 | Laura Peterson | Internal Medicine | 2225 Midwick Dr, Altadena, CA 91001 | 2016-03-24 |
| 1679904296 | Laura Marie Peterson | Chiropractor | 607 Shady Creek Ct, Belmont, NC 28012-0034 | 2013-12-07 |
| 1306274469 | Laura Ann Peterson | Registered Nurse | 5909 146th Pl Se, Everett, WA 98208-8910 | 2013-10-28 |
| 1053755561 | Laura Peterson | Specialist | 8520 Bitterbush Way, Colorado Springs, CO 80920 | 2013-04-26 |
| 1356605117 | Laura Marie Peterson | General Practice | 8330 Cheney Ridge Rd Apt 439, Lincoln, NE 68516-3820 | 2012-06-26 |
| 1891093175 | Laura Peterson | Physical Therapist | 101b W Central Texas Expy Ste D, Harker Heights, TX 76548-1704 | 2011-03-10 |
| 1649434762 | Laura Beth Peterson | Counselor | 2022 15th Ave., Columbus, GA 31901 | 2008-07-17 |
| 1144344144 | Laura N. Peterson | Speech-Language Pathologist | 80 Ann Dr, East Greenwich, RI 02818-1124 | 2007-03-17 |
| Street Address |
2300 MIAMI VALLEY DR STE 350 |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033684014 | Jessica R Wozniak | Registered Nurse | 2300 Miami Valley Dr Ste 350, Centerville, OH 45459-1294 | 2018-10-05 |
| 1467820159 | Michael Kent Snider | Physician Assistant | 2300 Miami Valley Dr Ste 350, Centerville, OH 45459-1294 | 2015-09-11 |
| 1316232606 | Matthew P Doepker | Surgery | 2300 Miami Valley Dr Ste 350, Centerville, OH 45459-1294 | 2011-06-14 |
| 1245549872 | Lyndsey Brooke Ritze | Physician Assistant | 2300 Miami Valley Dr Ste 350, Centerville, OH 45459-1294 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710186036 | Carl Humbert Barosso | Surgery | 2350 Miami Valley Dr Ste 300, Centerville, OH 45459-4778 | 2007-07-16 |
| 1023154333 | Midwest Vein Treatment Clinic Inc | Surgery | 8101 Miller Farm Ln, Suite A, Centerville, OH 45458-7320 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
| 1194373704 | Premier Vein and Vascular Care LLC | Surgery | 33290 Bainbridge Rd, Solon, OH 44139-2802 | 2019-08-27 |
| 1588144299 | Garcia Vascular Surgery Center, LLC | Surgery | 29099 Health Campus Dr Ste 380, Westlake, OH 44145-5276 | 2018-08-21 |
| 1962900365 | Marilyn Mcnamara | Surgery | 1031 Brook Ln, Rocky River, OH 44116-2184 | 2018-01-31 |
| 1386155521 | Zanesville Vascular Vein & Wound Center LLC | Surgery | 3964 Frazeysburg Rd Unit A, Zanesville, OH 43701-8920 | 2017-10-16 |
| 1679026751 | Center for Vein Restoration Oh, LLC | Surgery | 1050 Isaac Streets Dr Ste 131, Oregon, OH 43616-8203 | 2016-07-26 |
| 1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
| 1881035343 | Innovative Wound Care Associates, Inc | Surgery | 790 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4344 | 2013-07-12 |
| 1184062242 | Jorge Enrique Motta | Surgery | 12268 Church Rd, Orrville, OH 44667-9623 | 2013-06-11 |
| 1912245853 | Cleveland East Vascular Care, LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2013-01-28 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
Please comment or provide details below to improve the information on LAURA ALICE 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.