JOHN R PETERSON (NPI# 1912065483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912065483 |
Entity Type | Individual |
Full Name | JOHN R PETERSON |
Credential | MD |
Practice Address |
212 S Mill St Rushford MN 55971 |
Mailing Address |
Po Box 579 212 S Mill St Rushford MN 55971 |
Practice Telephone | 5078647726 |
Practice Fax Number | 5078643680 |
Mailing Telephone | 5078647726 |
Mailing Fax Number | 5078643680 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 14140 | MN | Allopathic & Osteopathic Physicians |
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 |
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 |
1023111002 | John Cleve Peterson IIi | Family Medicine | 7030 N Mercer Way, Mercer Island, WA 98040-2130 | 2006-09-06 |
Street Address |
212 S MILL ST |
City | RUSHFORD |
State | MN |
Zip Code | 55971 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508336405 | Mason Connor Mcmanimon-myers | Specialist/Technologist | 636 Dump Hill Rd, Rushford, MN 55971 | 2018-12-04 |
1982941704 | Corrie Marie Searles | Physical Therapist | 109 W Jesse St, Rushford Clinic, Rushford, MN 55971 | 2013-01-14 |
1093903445 | Marla Fleming | Pharmacist | 800 Home Street, Rushford, MN 55971 | 2007-10-11 |
1316152036 | Gregory David Glinski | Pharmacist | 213 South Mill Street, Rushford, MN 55971 | 2007-05-14 |
1124233267 | Jan Alvin Nelson | Pharmacist | 115 West Jessie Street, Rushford, MN 55971 | 2007-05-11 |
1689722183 | Gary Marcoux | Dentist | 208 S Elm St, Rushford, MN 55971 | 2007-01-08 |
1629413646 | Kristine Michele Raadt | Physical Therapist | 109 W Jesse St, Rushford Clinic, Rushford, MN 55971 | 2013-05-03 |
1801134937 | Stephen Richard Seltz | Physical Therapist | 109 W Jesse St, Rushford Clinic, Rushford, MN 55971 | 2013-01-24 |
1528081494 | Rushford Drug Co | Pharmacy | 115 W Jessie St, Rushford, MN 55971-0370 | 2006-07-25 |
1952521262 | Semcac | Private Vehicle | 204 Elm St S, Rushford, MN 55971-0549 | 2007-04-27 |
Find all providers in zip 55971 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
1013561893 | Medexpress Primary Care Minnesota, P.C. | General Practice | 4316 Rice Lake Rd, Duluth, MN 55811-4012 | 2019-07-30 |
1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
1841716883 | Medexpress Primary Care Minnesota, P.C. | General Practice | 11030 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-08-22 |
1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
1225385891 | Felix Cristobal Blanco | General Practice | 10 Fourth Ave Se, Glenwood, MN 56334-1820 | 2012-08-13 |
Find all providers with the same taxonomy |
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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.