DR. RONALD GENE PETERSON JR. (NPI# 1891064226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891064226 |
| Entity Type | Individual |
| Full Name | DR. RONALD GENE PETERSON JR. |
| Credential | D.C. |
| Practice Address |
815 Lincoln Hwy Ste 101 Fairview Heights IL 62208-2230 |
| Mailing Address |
815 Lincoln Hwy Ste 109 Fairview Heights IL 62208-2230 |
| Practice Telephone | 6185893911 |
| Mailing Telephone | 6185893911 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.012069 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205143948 | Ronald James Peterson | Chiropractor | 731 S Colorado St, Lockhart, TX 78644-3103 | 2010-09-01 |
| 1639371099 | Ronald Iver Peterson | General Practice | 6025 Country Club Oaks Place, Omaha, NE 68152-2009 | 2007-06-05 |
| 1356410799 | Ronald Leon Peterson | Physical Therapist | 116 Valley View Cir, Phoenixville, PA 19460-3185 | 2006-11-07 |
| 1477533586 | Ronald Todd Peterson | Emergency Medicine | 2615 Eye St, Bakersfield, CA 93301-2006 | 2006-01-17 |
| 1891875316 | Ronald Peterson | Social Worker | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2006-10-17 |
| 1063592848 | Ronald Daniel Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1174614457 | Ronald Gregory Peterson | Obstetrics & Gynecology | 6569 N Charles St, Ste 307, Baltimore, MD 21204-6831 | 2006-09-28 |
| 1609980473 | Ronald M Peterson | Family Medicine | 301 Knapp St, Wolf Point, MT 59201-1826 | 2006-08-18 |
| 1609827781 | Ronald J. Peterson | Specialist | 801 Nicollet Mall, Suite 400, Minneapolis, MN 55402-2500 | 2006-05-13 |
| 1376592840 | Ronald D. Peterson | Specialist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2006-05-10 |
| Street Address |
815 LINCOLN HWY STE 101 |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720418270 | Darron Bell Jr. | Chiropractor | 10251 Lincoln Trl, Fairview Heights, IL 62208-1846 | 2013-11-20 |
| 1043315526 | Stephen Douglas Woods | Chiropractor | 5400 N Illinois St, Suite 104, Fairview Heights, IL 62208-3563 | 2006-09-13 |
| 1669588711 | Amberlee Nicole Pritchard | Chiropractor | 10513 Lincoln Trail, Fairview Heights, IL 62208 | 2006-08-22 |
| 1811945058 | Christopher Worth | Chiropractor | 5007 N Illinois St, Suite 1, Fairview Heights, IL 62208-3419 | 2006-05-04 |
| 1346245727 | Michael Keith Faulkner | Chiropractor | 10513 Lincoln Trl, Fairview Heights, IL 62208-1911 | 2005-06-14 |
| 1366963878 | Gary Joseph Mueller | Chiropractor | 5007 N Illinois St, Fairview Heights, IL 62208-3419 | 2017-07-06 |
| 1851842801 | Domonique Stewart | Chiropractor | 10251 Lincoln Trl, Fairview Heights, IL 62208-1846 | 2016-10-14 |
| 1922465715 | Limitless Chiropractic LLC | Chiropractor | 10513 Lincoln Trl, Fairview Heights, IL 62208-1911 | 2016-01-25 |
| 1730546995 | Alex Christian Guebert | Chiropractor | 10513 Lincoln Trl, Fairview Heights, IL 62208-1911 | 2016-01-19 |
| 1639579071 | Amanda Kurtz | Chiropractor | 5003 N Illinois St, Suite 2, Fairview Heights, IL 62208-3419 | 2014-09-03 |
| Find all providers in FAIRVIEW HEIGHTS | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
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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.