MR. CARL EDWIN PETERS (NPI# 1063458636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063458636 |
| Entity Type | Individual |
| Full Name | MR. CARL EDWIN PETERS |
| Credential | PA |
| Practice Address |
1551 Indian Hills Dr Sioux City IA 51104-1859 |
| Mailing Address |
1551 Indian Hills Dr Sioux City IA 51104-1857 |
| Practice Telephone | 7122584700 |
| Practice Fax Number | 7122584777 |
| Mailing Telephone | 7122584700 |
| Mailing Fax Number | 7122584777 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001490 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265456982 | Carl Wade Peters Jr. | Dermatology | 2301 N 9th Ave, Suite 200, Pensacola, FL 32503-3950 | 2006-07-26 |
| 1053403915 | Carl Peters | Family Medicine | 12348 Old Tesson Rd, Suite 180, Saint Louis, MO 63128-2251 | 2006-09-29 |
| 1275554883 | Carl William Peters | Anesthesiology | 1600 Sw Archer Road, Gainesville, FL 32610-0254 | 2006-07-21 |
| Street Address |
1551 INDIAN HILLS DR |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51104-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456910 | Renee Ann Fagen | Psychologist | 1551 Indian Hills Dr, Sioux City, IA 51104-1859 | 2018-08-08 |
| 1922491638 | Simple Life, Inc. | Community/Behavioral Health | 1551 Indian Hills Dr, Suite 4, Sioux City, IA 51104-1859 | 2015-03-05 |
| 1144552068 | Northside Chiropractic Wellness Center Plc | Chiropractor | 1551 Indian Hills Dr, Suite 8, Sioux City, IA 51104-1859 | 2010-02-03 |
| 1689813255 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1551 Indian Hills Dr, #104, Sioux City, IA 51104-1859 | 2009-02-05 |
| 1174799225 | Michael P Baker Dba Associates for Psycholoigcal & Therapy Services | Counselor | 1551 Indian Hills Dr, Suite 221, Sioux City, IA 51104-1859 | 2008-05-07 |
| 1588705339 | Karen L Wall | Counselor | 1551 Indian Hills Dr, Suite 221, Sioux City, IA 51104-1859 | 2007-02-12 |
| 1114095403 | Indian Hills Pharmacy | Pharmacist | 1551 Indian Hills Dr, Ste 101, Sioux City, IA 51104-1859 | 2006-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944435 | Family First Dental Associates of Iowa, P.C. | Dentist | 2100 Indian Hills Drive, Sioux City, IA 51104 | 2015-06-16 |
| 1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 1790811024 | Fred R Rizk | Dentist | 1923 Nebraska Street, Siuox City, IA 51104 | 2007-02-23 |
| 1255474029 | Edilia Maria Marshall | Dentist | Summit Dental, 2114 Pierce St, Sioux City, IA 51104 | 2007-02-14 |
| 1063553410 | Thomas Leonard Tiedeman | Dentist | 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 | 2007-02-09 |
| 1336209188 | Shawn Robert Walton | Dentist | 2410 Pierce Street, Sioux City, IA 51104 | 2006-12-11 |
| 1477649556 | Timothy R Kuntz | Dentist | 3012 Hamilton Blvd, Sioux City, IA 51104 | 2006-10-05 |
| 1528162732 | Duane Kent Nelson | Orthopaedic Surgery | 2800 Peirce St, Suite 101, Sioux City, IA 51104 | 2006-09-08 |
| 1659482206 | Shawn R Walton | Dentist | 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 | 2006-08-31 |
| Find all providers in zip 51104 | ||||
| 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 |
|---|---|---|---|---|
| 1285694059 | Eileen M Middleton | Physician Assistant | 600 4th St, Suite 501, Sioux City, IA 51101-1750 | 2006-03-24 |
| 1093713794 | Theresa J. Swenson | Physician Assistant | 2730 Pierce St Ste 300, Sioux City, IA 51104-3765 | 2005-07-07 |
| 1710534219 | Rebekah A Morgan | Physician Assistant | 2720 Stone Park Blvd, Sioux City, IA 51104-3734 | 2019-08-20 |
| 1669028197 | Kimberly Kay Velk | Physician Assistant | 801 5th St, Sioux City, IA 51101-1326 | 2019-08-12 |
| 1922653336 | Jessica Leigh English | Physician Assistant | 801 5th St, Sioux City, IA 51101-1326 | 2019-08-03 |
| 1447813316 | Woodbury Emergency Group, PC | Physician Assistant | 801 5th St, Sioux City, IA 51101-1326 | 2019-04-17 |
| 1154710077 | Daniel Austin Moore | Physician Assistant | 801 5th St, Emergency Department, Sioux City, IA 51101-1326 | 2015-01-15 |
| 1003219551 | Ashley Rae Knapp | Physician Assistant | 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106-4250 | 2014-09-29 |
| 1225430416 | Brian Paugh | Physician Assistant | 801 5th St, Sioux City, IA 51102 | 2014-09-19 |
| 1285045427 | Teresa Barajas Croft | Physician Assistant | 801 5th St, Sioux City, IA 51101-1326 | 2014-05-09 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51104 |
Please comment or provide details below to improve the information on MR. CARL EDWIN PETERS.
| 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.