ROBERT L. PETERSON, M.D., S.C. (NPI# 1063535706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063535706 |
| Entity Type | Organization |
| Organization Name | ROBERT L. PETERSON, M.D., S.C. |
| Practice Address |
900 Riverside Dr Suite IIi Waupaca WI 54981-1983 |
| Practice Telephone | 7152588898 |
| Practice Fax Number | 7152586980 |
| Mailing Telephone | 7152588898 |
| Mailing Fax Number | 7152586980 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT LESTER PETERSON (PRESIDENT) |
| Authorized Official Telephone | 7152588898 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
900 RIVERSIDE DR SUITE III |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720144876 | Robert Lester Peterson | Family Medicine | 900 Riverside Dr, Suite IIi, Waupaca, WI 54981-1983 | 2006-12-30 |
| 1306112230 | Forefront Dermatology, S.c. | Dermatology | 900 Riverside Dr, Suite 5, Waupaca, WI 54981 | 2012-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720144876 | Robert Lester Peterson | Family Medicine | 900 Riverside Dr, Suite IIi, Waupaca, WI 54981-1983 | 2006-12-30 |
| 1255367025 | Russell Lewis Jr. | Family Medicine | 190 Grand Seasons Dr, Waupaca, WI 54981-8219 | 2006-06-24 |
| 1396731410 | Michelle A Soto | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2005-09-23 |
| 1669906004 | Ezra Lyon | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2017-04-12 |
| 1073932331 | Ashley Tardieu | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2014-04-15 |
| 1457619348 | James P Spencer | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2012-04-27 |
| 1144547027 | Dorrie Marie Happ | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2010-04-30 |
| 1649597501 | Zachary J Baeseman | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2010-04-30 |
| 1235291048 | Patty Kile | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2006-12-15 |
| 1649288093 | Robert Dent | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2006-08-03 |
| Find all providers in WAUPACA | ||||
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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.