DR. WILLIAM W. PETERSON (NPI# 1972674844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972674844 |
Entity Type | Individual |
Full Name | DR. WILLIAM W. PETERSON |
Credential | M.D. |
Practice Address |
615 Lilly Rd Ne Suite 100 Olympia WA 98506-5117 |
Mailing Address |
Po Box 368 Olympia WA 98507-0368 |
Practice Telephone | 3604914211 |
Practice Fax Number | 3604930407 |
Mailing Telephone | 3604918439 |
Mailing Fax Number | 3604916328 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2008-09-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | MD00027444 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8119398 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669643664 | William Richard Peterson | Hearing Instrument Specialist | 5000 Nations Crossing Rd, Suite 205, Charlotte, NC 28217-1876 | 2008-03-18 |
1649373010 | William Roger Peterson | Dentist | 1730 Holloway Rd, Holland, OH 43528-8547 | 2006-09-07 |
1093734865 | William J. Peterson | Dentist | 275 N Main St, Box 378, Valentine, NE 69201-1840 | 2006-07-19 |
1841236072 | William James Peterson | Emergency Medicine | Vacavalley Hospital, 1000 Nut Tree Road, Vacaville, CA 95687 | 2006-06-22 |
1568997310 | William B Peterson | Physical Therapist | 777 N York Rd Ste 11, Hinsdale, IL 60521 | 2017-04-28 |
1467863043 | William Jon Porter Peterson | Emergency Medicine | 1500 East Medical Center Dr, B1 Floor University Hospital Recp Emergency, Ann Arbor, MI 48109-5301 | 2014-05-16 |
1164765160 | William Scott Peterson | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2013-03-28 |
1285973107 | William Winston Leonard Peterson IIi | Chiropractor | 1700 Se Hillmoor Dr, Ste 502, Port St Lucie, FL 34952-7566 | 2013-02-13 |
1225341811 | William Trent Peterson | Family Medicine | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2010-07-23 |
1235366733 | William Michael Peterson II | Radiology | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2009-06-11 |
Street Address |
615 LILLY RD NE SUITE 100 |
City | OLYMPIA |
State | WA |
Zip Code | 98506-5117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205885290 | Kathy Lucia Savatini | Physician Assistant | 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 | 2006-05-08 |
1639546625 | Kara Markstrom | Physical Therapy Assistant | 615 Lilly Rd Ne, Olympia, WA 98506-5117 | 2015-08-26 |
1972845733 | Olympia Orthopaedic Associates Physical Therapy | Physical Therapist | 615 Lilly Rd Ne, Suite 240, Olympia, WA 98506-5117 | 2013-03-20 |
1285955054 | Maria Ciani | Obstetrics & Gynecology | 615 Lilly Rd Ne, Suite 200, Olympia, WA 98506-5117 | 2010-06-16 |
1821311465 | Jennifer Koleka Kratzer | Advanced Practice Midwife | 615 Lilly Rd Ne, Ste 200, Olympia, WA 98506-5117 | 2010-03-10 |
1508189887 | Michelle D Smith | Physician Assistant | 615 Lilly Rd Ne, Olympia, WA 98506-5117 | 2010-03-01 |
1992959746 | Gregory Dee Byrd | Orthopaedic Surgery | 615 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5117 | 2008-11-06 |
1194976365 | Sarah Terese Calvert | Obstetrics & Gynecology | 615 Lilly Rd Ne, Suite 200, Olympia, WA 98506-5117 | 2008-10-07 |
1558531459 | Olympia Orthopaedic Associates, Pllc | Durable Medical Equipment & Medical Supplies | 615 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5117 | 2008-03-06 |
1326237637 | Lori Welke | Physician Assistant | 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 | 2007-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205177938 | Said Nayebi | Orthopaedic Surgery | 2239 Crestline Blvd Nw, Olympia, WA 98502-4321 | 2013-03-05 |
1972792844 | Ryan E Will | Orthopaedic Surgery | 615 Lilly Rd Ne Ste 120, Olympia, WA 98506-5117 | 2007-10-17 |
1225196223 | Delbert E. Casey Jones | Orthopaedic Surgery | 6333 Kiel Ct Se, Olympia, WA 98513-4125 | 2006-12-04 |
1063490290 | Milan Shannon Moore | Orthopaedic Surgery | 3901 Capital Mall Dr Sw Ste A, Olympia, WA 98502-8654 | 2006-01-06 |
1912402397 | Kori Ann Dijos | Orthopaedic Surgery | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2018-03-27 |
1659675684 | Bradley Clifford Christ | Orthopaedic Surgery | 3901 Capital Mall Dr Sw, Ste A, Olympia, WA 98502-8654 | 2011-01-05 |
1992959746 | Gregory Dee Byrd | Orthopaedic Surgery | 615 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5117 | 2008-11-06 |
1164695813 | Richard Joseph Lamour | Orthopaedic Surgery | 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 | 2008-04-02 |
1316084056 | Andrew Philip Manista | Orthopaedic Surgery | 404 Yauger Way Sw, Suite 100, Olympia, WA 98502-8660 | 2007-01-31 |
1215008180 | Dennis Smith | Orthopaedic Surgery | 615 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5117 | 2006-11-13 |
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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.