ADAM PETERSON (NPI# 1033539937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033539937 |
| Entity Type | Individual |
| Full Name | ADAM PETERSON |
| Credential | M.D. |
| Practice Address |
4500 N Lewis Ave Sioux Falls SD 57104-7111 |
| Mailing Address |
1900 E Briar Den Ct Sioux Falls SD 57108-5112 |
| Practice Telephone | 6053226368 |
| Mailing Telephone | 6059401450 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
11710 | SD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358018 | Adam Peterson | Counselor | 200 Beatty St, Medford, OR 97501-5811 | 2020-05-27 |
| 1467978858 | Adam David Peterson | Psychologist | 3200 Vine Street, Office B125a, Cincinnati, OH 45220 | 2017-08-17 |
| 1659724177 | Adam Peterson | Student in an Organized Health Care Education/Training Program | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2016-07-20 |
| 1306263595 | Adam Peterson | Rehabilitation Practitioner | 1255 Curti Dr, Reno, NV 89502-1708 | 2014-03-25 |
| 1891049177 | Adam Gregory Peterson | Counselor | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2012-11-07 |
| 1578871810 | Adam Peterson | Counselor | 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086-7624 | 2010-09-21 |
| Street Address |
4500 N LEWIS AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-7111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619989605 | Janell L Simpkins | Emergency Medicine | 4500 N Lewis Ave, Sioux Falls, SD 57104 | 2006-08-11 |
| 1700499936 | Avera Mckennan | Psychiatry & Neurology | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-08-27 |
| 1902417983 | Ephrem Tadesse Bejiga | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-08-12 |
| 1790393825 | Anders Peterson | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-07-15 |
| 1982231510 | Collin Jansen Block | Social Worker | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2020-03-24 |
| 1245886746 | Mitchell Jacob Relf | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2019-08-12 |
| 1073167953 | Kenna Lyn Kennedy | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2019-07-29 |
| 1548733116 | Jacklyn Genzlinger | Social Worker | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2019-01-07 |
| 1134619596 | Jennifer Marie Prouty | Social Worker | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2018-05-11 |
| 1639694532 | Anasara Henry | Nurse Practitioner | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2017-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080595 | Sarah A Flynn | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| 1134389299 | Ann Margaret Bowden | Psychiatry & Neurology | 4400 W 69th St, Suite 1500, Sioux Falls, SD 57108-8170 | 2008-06-12 |
| 1801080072 | Elizabeth Ann Grace-cruz | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8171 | 2007-08-30 |
| 1467642165 | William Bryce Gammeter | Psychiatry & Neurology | 4400 W 69th St, Suite 1500, Sioux Falls, SD 57108-8170 | 2007-07-28 |
| 1588799738 | Wioleta Elzbieta Mazurczak | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2007-02-21 |
| 1730265752 | Nicole Ann Christenson | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-10-31 |
| 1548233091 | Tamara Lynn Vik | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| 1639141179 | Scott A Schneider | Psychiatry & Neurology | 4400 W 69th St, Ste 500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| 1053383539 | Timothy James Soundy | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386803039 | Christopher Kenneth Haas | Psychiatry & Neurology | 915 Mt. View Road, Rapid City, SD 57702 | 2008-06-07 |
| City | SIOUX FALLS |
| Zip Code | 57104 |
Please comment or provide details below to improve the information on ADAM PETERSON.
| 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.