MR. SCOTT MICHAEL PETERSON (NPI# 1033126974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033126974 |
| Entity Type | Individual |
| Full Name | MR. SCOTT MICHAEL PETERSON |
| Credential | ATC |
| Practice Address |
Lemoyne College Sports Medicine 1419 Salt Springs Road Syracuse NY 13214-1399 |
| Practice Telephone | 3154454417 |
| Practice Fax Number | 3154456048 |
| Mailing Telephone | 3154454417 |
| Mailing Fax Number | 3154456048 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000727-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436787 | Scott Kermit Peterson | Registered Nurse | 30681 Olson St Apt 2, Pequot Lakes, MN 56472-3081 | 2020-01-08 |
| 1619413093 | Scott T Peterson | Dentist | 5235 W Baseline Rd, #187, Laveen, AZ 85339-3122 | 2017-01-10 |
| 1427202266 | Scott Andrew Peterson | Social Worker | 2000 Dry Valley Road, Loa, UT 84747 | 2008-11-06 |
| 1336398783 | Scott Allen Peterson | Occupational Therapist | 8765 Blue Pine Way, Reno, NV 89523-3843 | 2008-09-10 |
| 1013034842 | Scott L. Peterson | Counselor | 11011 S 48th St Ste 200, Phoenix, AZ 85044-1788 | 2007-03-25 |
| 1750351441 | Scott David Peterson | Optometrist | 3988 Washington Blvd, Ogden, UT 84403-1826 | 2006-01-25 |
| 1649250242 | Scott M Peterson | Obstetrics & Gynecology | 3300 W Centre Ave, Bronson Ob Gyn Associates, Portage, MI 49024-4666 | 2006-01-19 |
| 1457917627 | Scott Jeffrey Peterson | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2019-05-14 |
| 1598121808 | Scott Peterson | Ophthalmology | 3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2630 | 2016-01-04 |
| 1720492655 | Scott Peterson | Marriage & Family Therapist | 1880 River Rd, Grand Rapids, MN 55744-4085 | 2014-06-18 |
| Street Address |
LEMOYNE COLLEGE SPORTS MEDICINE 1419 SALT SPRINGS ROAD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-1399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462021 | Robert Shelton | Specialist/Technologist | 665 S 2000 W, Syracuse, UT 84075-9623 | 2020-09-18 |
| 1598298358 | Sotero Leon Perigo | Specialist/Technologist | 1128 S 2450 W, Syracuse, UT 84075-7051 | 2017-04-09 |
| 1295278950 | Sarah Mary Missen | Specialist/Technologist | 417 Buckingham Ave # 2, Syracuse, NY 13210-3315 | 2016-11-29 |
| 1104287101 | Kathleen Chaney | Specialist/Technologist | 1301 E Colvin, Syracuse, NY 13244-0001 | 2016-03-18 |
| 1245638790 | Adelyn Passaro | Specialist/Technologist | 1301 E Colvin St, Syracuse, NY 13244-0001 | 2014-12-16 |
| 1659624526 | Mary K. Butlak | Specialist/Technologist | 231 Walton St Ste 200, Syracuse, NY 13202-1887 | 2012-10-17 |
| 1801927496 | Troy Alan Gerlt | Specialist/Technologist | Syracuse University, Manley Field House, Syracuse, NY 13244-5020 | 2007-03-08 |
| 1053322214 | Michael Hayden Wilson | Specialist/Technologist | 1419 Salt Springs Rd, Syracuse, NY 13214-1302 | 2006-08-11 |
| 1215534797 | Michael Mangano | Specialist/Technologist | 1301 E Colvin St, Syracuse, NY 13244-4403 | 2020-10-07 |
| 1316483969 | Daniel Collins | Specialist/Technologist | 1419 Salt Springs Rd, Syracuse, NY 13214-1302 | 2017-01-06 |
| Find all providers in SYRACUSE | ||||
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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.