MATTHEW PETERSEN (NPI# 1053764639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053764639 |
Entity Type | Individual |
Full Name | MATTHEW PETERSEN |
Credential | PA |
Practice Address |
11800 Fm 1960 Rd W Houston TX 77065-3840 |
Practice Telephone | 2816642107 |
Practice Fax Number | 2819555875 |
Mailing Telephone | 2816642107 |
Mailing Fax Number | 2819555875 |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-07-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA10657 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477607083 | Matthew D. Petersen | Specialist/Technologist, Other | 11704 W Center Rd Ste 200, Omaha, NE 68144-4327 | 2007-01-22 |
1710062351 | Matthew Petersen | Urology | 24 Research Way, Suite 500, East Setauket, NY 11733 | 2006-10-25 |
1396206397 | Matthew Petersen | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2019-03-31 |
1629565767 | Matthew Gary Petersen | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2018-04-14 |
1154554004 | Matthew Joel Petersen | Counselor | 711 Stanton L Young Blvd, Oklahoma City, OK 73104-5023 | 2009-08-26 |
1972767556 | Matthew James Petersen | Radiology | 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202-1239 | 2008-07-14 |
1558569038 | Matthew L Petersen | Family Medicine | 4600 Valley Road, Suite 200, Lincoln, NE 68510-4844 | 2007-07-06 |
Street Address |
11800 FM 1960 RD W |
City | HOUSTON |
State | TX |
Zip Code | 77065-3840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316949514 | Mariellen Barker | Physical Medicine & Rehabilitation | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2005-06-01 |
1992319784 | Ajoey Koshy Abraham | Physician Assistant | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2020-08-31 |
1952927345 | Brandon Matthew Lau | Physical Therapist | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2020-06-22 |
1437784832 | Elorie Komorita | Physical Therapist | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2020-03-05 |
1851922652 | Mikala L Scales | Physical Therapy Assistant | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2020-01-30 |
1043701022 | Apple Orthopedics, Pllc | Orthopaedic Surgery | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2018-05-24 |
1134610116 | New Day Orthopedics, Pllc | Orthopaedic Surgery | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2018-05-24 |
1932618675 | Cypress Surgical Services, Pllc | Physician Assistant | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2017-09-26 |
1811427743 | Meaghan Holmes | Occupational Therapist | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2017-06-13 |
1154856334 | Shawn Brooks | Physical Therapist | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2017-04-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275184913 | American Med Resources, LLC | Nursing Care | 12811 Azalea Creek Trail, Houston, TX 77065 | 2019-09-24 |
1619445210 | Prativa N Bhandari | Nurse Practitioner | 11307 Farm To Market, W #130, Houston, TX 77065 | 2018-11-13 |
1215405923 | Nyla Jacobs | Physical Therapist | 11777 Fm 1960 W, Houston, TX 77065 | 2018-11-12 |
1437632460 | Jose Milton Hernandez Mercado | Dentist | 12341 Fm 1960 Rd W Ste A, Houston, TX 77065 | 2018-09-14 |
1780164285 | Portal Cypress Dentistry & Orthodontics Pllc | Dentist | 11211 North Eldridge Pkwy, Houston, TX 77065 | 2018-08-15 |
1710492368 | Monica Zelaya | Counselor | 11919 Leaf Oak Dr, Houston, TX 77065 | 2017-12-05 |
1619494077 | Tam-anh Nguyen | Specialist/Technologist | 9827 Chiselhurst Dr., Houston, TX 77065 | 2017-08-26 |
1881110211 | Veronica Arceneaux | Home Health Aide | 12436 F M 1960 West, #191, Houston, TX 77065 | 2017-08-17 |
1528590288 | Cini John | Nurse Practitioner | 11810 Fm1960 W., Hc Medical Doctors, Pa, Houston, TX 77065 | 2017-03-31 |
1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
Find all providers in zip 77065 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
1306453659 | Christine Michelle Serewis - Pond | Physician Assistant | 950 Threadneedle St # 282, Houston, TX 77079-2925 | 2020-09-29 |
1902412828 | Chen-ho Yang | Physician Assistant | 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 | 2020-09-16 |
1437769833 | Aviva Tziporah Rogozen | Physician Assistant | 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 | 2020-07-31 |
1417575671 | Harmeet Kaur | Physician Assistant | 9601 Jones Rd Ste 238, Houston, TX 77065-4774 | 2020-07-13 |
1780201939 | Evelyn Oliva | Physician Assistant | 4943 Brenner St, Houston, TX 77022-2536 | 2020-07-02 |
1093330722 | Stephanie Kochuparambil | Physician Assistant | 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 | 2020-06-09 |
1376171587 | Samad Syed Ali | Physician Assistant | 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 | 2020-04-01 |
1235765660 | Samantha Salcedo | Physician Assistant | 6651 Main St Ste 1420, Houston, TX 77030-2351 | 2020-03-17 |
Find all providers in HOUSTON |
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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.