MATTHEW PETERSEN


Address: 11800 Fm 1960 Rd W, Houston, TX 77065-3840
Phone: 2816642107

MATTHEW PETERSEN (NPI# 1053764639) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA10657 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers MATTHEW PETERSEN

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

Office Location

Street Address 11800 FM 1960 RD W
City HOUSTON
State TX
Zip Code 77065-3840

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City HOUSTON
Zip Code 77065

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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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