PETER DONALDSON (NPI# 1902830755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902830755 |
| Entity Type | Individual |
| Full Name | PETER DONALDSON |
| Credential | MD |
| Practice Address |
26025 Lahser Rd 2nd Floor Southfield MI 48033-2601 |
| Practice Telephone | 2486631900 |
| Practice Fax Number | 2486631902 |
| Mailing Telephone | 2486631900 |
| Mailing Fax Number | 2486631902 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4301085729 | MI | Allopathic & Osteopathic Physicians |
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
4301085729 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4873214 | 05 | |
| MI | BCBS DME | 0F33583 | 01 |
| MI | BCBS | 0F31114 | 01 |
| MI | ADMINISTAR FEDERAL | 0767220001 | 01 |
| CMS | MI10377060 | 01 |
| Street Address |
26025 LAHSER RD 2ND FLOOR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497736771 | Thomas J Ditkoff | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2601 | 2005-11-14 |
| 1679073191 | Vanita Upendra Koepke | Physical Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2018-02-21 |
| 1427449727 | Julie Berris | Occupational Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2015-02-09 |
| 1154760650 | Julie Walters Lipa | Physician Assistant | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2013-06-18 |
| 1891092904 | Stephanie Danielle Springer | Physical Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2011-02-25 |
| 1679883201 | Kelly Maureen Pseres | Registered Nurse | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2010-10-17 |
| 1346569886 | Diana C Lengel | Physical Therapist | 26025 Lahser Rd, Suite 100, Southfield, MI 48033-2606 | 2010-05-24 |
| 1609106871 | Chandra T Charlton | Physical Therapist | 26025 Lahser Rd, Suite 100, Southfield, MI 48033-2606 | 2010-01-11 |
| 1598091704 | Jennifer Carol Rohrborn | Nurse Practitioner | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2009-10-22 |
| 1073769162 | Daniel Park | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427368 | Samantha Kate Viola | Emergency Medicine | 12901 15 Mile Rd, Sterling Heights, MI 48312-4202 | 2017-10-01 |
| 1578089645 | Tyler Koerth | Emergency Medicine | 10425 Panther Pride, Delton, MI 49046-8825 | 2017-08-20 |
| 1164968210 | Laylah Ali | Emergency Medicine | 1 Campus Dr, Allendale, MI 49401-9403 | 2017-01-12 |
| 1558813964 | Steven Berning | Emergency Medicine | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2016-11-02 |
| 1770832131 | Meghan M Hescheles | Emergency Medicine | 224 Park Ave, Frankfort, MI 49635-9658 | 2012-08-31 |
| 1255517272 | Dmc Orthopaedic Billing Associates, LLC | Emergency Medicine | 9398 N Lilley Rd, Plymouth, MI 48170-4610 | 2008-01-22 |
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on PETER DONALDSON.
| 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.