MRS. DIANE ELAINE BERGMAN PETERSEN


Address: 940 Central Park Drive, #209, Steamboat Springs, CO 80487
Phone: 9708793738

MRS. DIANE ELAINE BERGMAN PETERSEN (NPI# 1013939578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013939578
Entity Type Individual
Full Name MRS. DIANE ELAINE BERGMAN PETERSEN
Credential M.D.
Practice Address 940 Central Park Drive
#209
Steamboat Springs
CO 80487
Practice Telephone 9708793738
Practice Fax Number 9708706441
Mailing Telephone 9708793738
Mailing Fax Number 9708706441
Enumeration Date 2006-07-24
Last Update Date 2011-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 30507 MN Other Service Providers
Y 207V00000X Obstetrics & Gynecology 46731 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO COLORADO STATE LICENSE 46731 01

Other Providers DIANE PETERSEN

NPI Name Taxonomy Address Enumeration
1306187117 Diane Petersen Social Worker 18640 W Il Route 120, Grayslake, IL 60030-9733 2013-03-05
1821227141 Diane Petersen Psychologist 2020 Talley Rd, Leesburg, FL 34748-3426 2009-07-08
1669514980 Diane Durkin Petersen Social Worker 1299 Olentangy River Rd, Columbus, OH 43212-3135 2007-02-13
1790719342 Diane M Petersen Obstetrics & Gynecology 1031 Bellevue Ave, Suite 400, Saint Louis, MO 63117-1818 2006-07-10
1992734420 Diane Yvonne Petersen Otolaryngology 3565 Del Amo Blvd, 3rd Floor, Torrance, CA 90503-1637 2006-06-30

Office Location

Street Address 940 CENTRAL PARK DRIVE
#209
City STEAMBOAT SPRINGS
State CO
Zip Code 80487

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801814009 David William Schaller Obstetrics & Gynecology 940 Central Park Drive, #209, Steamboat Springs, CO 80487 2006-07-17
1609401413 Yampa Valley Medical Center Clinic/Center 940 Central Park Drive, Suite 207, Steamboat Springs, CO 80487-8853 2020-03-12
1881050078 Northwest Colorado Visiting Nurse Association Clinic/Center 940 Central Park Drive, Suite 101, Steamboat Springs, CO 80487-8813 2016-01-05
1265787857 Northwest Colorado Visiting Nurse Association Clinic/Center 940 Central Park Drive, Suite 101, Steamboat Springs, CO 80487-8853 2012-07-19
1841556438 Lilia Luna Counselor 940 Central Park Drive, Suite 101, Steamboat Springs, CO 80487-8813 2012-04-08
1780714188 Kenneth John Davis Physician Assistant 940 Central Park Drive, Suite 101, Steamboat Springs, CO 80487 2007-03-06
1285712703 Sheila Marie Fountain Pediatrics 940 Central Park Drive, Suite #201, Steamboat Springs, CO 80487-8816 2006-11-01
1871684472 Mark J Hermacinski Surgery 940 Central Park Drive, Suite 200, Steamboat Springs, CO 80487-8853 2006-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169670 Yampa Valley Medical Center Clinic/Center 136 Lincoln Ave, Steamboat Springs, CO 80487 2020-09-22
1245849736 Children's Wellness Center of Colorado Counselor 2220 Curve Plaza, Suite 203, Steamboat Springs, CO 80487 2020-07-30
1508496308 City of Steamboat Springs Ambulance 2600 Pine Grove Road, Steamboat Springs, CO 80487 2020-01-21
1447802194 Michael Dieter Physical Therapy Assistant 136 South Lincoln Ave, Steamboat Springs, CO 80487 2019-07-12
1225534860 Elizabeth Faye Kirt Nurse Practitioner 924 Oak St., Steamboat Springs, CO 80487 2018-04-03
1649799800 Joshua James Zink Chiropractor 2700 Lincoln Ave., Steamboat Springs, CO 80487 2017-09-19
1346630688 Katherine Higgins Acupuncturist 419 Oak St., Steamboat Springs, CO 80487 2015-01-26
1952719098 Denise Lynn Martinez Counselor 1915 Alpine Plaza, Unit C4, Steamboat Springs, CO 80487 2014-07-31
1285069468 Nicole Leanne Olexa Massage Therapist 702 Oak Avenue, Steamboat Springs, CO 80487 2013-09-06
1760828610 Susan A Seitz Pharmacist 1825 Central Park Dr, Steamboat Springs, CO 80487 2013-05-20
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851937825 Planned Parenthood of The Rocky Mountains Obstetrics & Gynecology 111 11th St Unit 102, 772865, Steamboat Springs, CO 80477-2865 2019-11-25
1306937644 Yampa Valley Ob Gyn PC Obstetrics & Gynecology 1600 Pine Grove Road, Suite 100, Steamboat Springs, CO 80487-4187 2006-09-28
1801814009 David William Schaller Obstetrics & Gynecology 940 Central Park Drive, #209, Steamboat Springs, CO 80487 2006-07-17
1578745527 Northern Colorado Professional Physicians, PC Obstetrics & Gynecology 940 Central Park Dr, Suite 200, Steamboat Springs, CO 80487-8816 2007-12-02
1083709836 Mary Langer Bowman Obstetrics & Gynecology 940 Central Park Dr, Suite 209, Steamboat Springs, CO 80487-8816 2006-10-04
1194816470 Leslie Ann Ahlmeyer Obstetrics & Gynecology 1600 Pine Grove Rd, Steamboat Springs, CO 80487-2118 2006-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760099766 Bella Natural Womens Care Obstetrics & Gynecology 3894 Olive St, Denver, CO 80207-1528 2020-09-24
1902411895 Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology 14000 E Arapahoe Rd Ste 390, Centennial, CO 80112-4045 2020-09-09
1144834011 Scl Health Medical Group - Denver, LLC Obstetrics & Gynecology 1960 N Ogden St Ste 230, Denver, CO 80218-3668 2020-09-08
1417560574 Scl Health Medical Group - Denver, LLC Obstetrics & Gynecology 300 Exempla Cir Ste 400, Lafayette, CO 80026-3396 2020-08-28
1871102566 Portercare Adventist Health System Obstetrics & Gynecology 2356 Meadows Blvd Ste 240b, Castle Rock, CO 80109-8410 2020-07-28
1245858463 Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology 4650 W 38th Ave Ste 215, Denver, CO 80212-2161 2020-07-14
1386262814 Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology 4330 W 37th Ave, Denver, CO 80212-1927 2020-07-10
1528686052 Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology 400 Indiana St Ste 240, Golden, CO 80401-5052 2020-07-10
1770101214 Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology 6179 S Balsam Way Ste 200, Littleton, CO 80123-3093 2020-07-10
1508482688 Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology 1258 S Pearl St Ste 100, Denver, CO 80210-1538 2020-06-24
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Competitor

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City STEAMBOAT SPRINGS
Zip Code 80487

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Dataset Information

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.

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