DR. BRIAN WOODFORD PETERSEN (NPI# 1093070179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093070179 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WOODFORD PETERSEN |
| Credential | M.D. |
| Practice Address |
2045 N Franklin St Denver CO 80205-5437 |
| Practice Telephone | (303) 338-4545 |
| Mailing Telephone | (303) 338-4545 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2017-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | DR.0058571 | CO | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | LP02769 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 028287 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659544773 | Brian Lamar Petersen | Social Worker | 3724 S 2000 E, Salt Lake City, UT 84109-3318 | 2008-04-09 |
| 1619066891 | Brian S Petersen | Chiropractor | 151 Ne State Route 300, Belfair, WA 98528 | 2006-10-12 |
| 1972141661 | Brian Douglas Petersen | Specialist/Technologist | 6001 Dodge St, Omaha, NE 68182-1102 | 2019-12-13 |
| 1215169818 | Brian A Petersen | Psychologist | 412 6th Ave, #610, New York, NY 10011-8409 | 2009-08-14 |
| 1861693095 | Brian Walter Petersen | Orthopaedic Surgery | 1589 Sparta St, Suite 203b, Mcminnville, TN 37110-1390 | 2007-05-28 |
| 1538138516 | Brian Petersen | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2006-03-14 |
| Street Address |
2045 N FRANKLIN ST |
| City | DENVER |
| State | CO |
| Zip Code | 80205-5437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370773 | Mina S Lee | Urology | 2045 N Franklin St, Denver, CO 80205-5437 | 2005-07-20 |
| 1992306427 | Nicole L Maes | Technician/Technologist | 2045 N Franklin St, Denver, CO 80205-5437 | 2020-11-02 |
| 1881208395 | Matthew Westcomb | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2020-09-02 |
| 1861030678 | Valerie Ann Davis | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-12-12 |
| 1417506338 | Laurel Thorburn | Audiologist | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-09-04 |
| 1164084893 | Deanna Dougherty | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-07-02 |
| 1356905772 | Jason Saulo Hermosillo | Specialist/Technologist, Other | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-05-01 |
| 1114485976 | Marissa E Heebner | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-03-11 |
| 1194282913 | Nicole Hoffman | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-02-28 |
| 1114484409 | Daniel Bernard Lockman | Specialist/Technologist, Other | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496668 | Sorkin Dermatology Associates Professional LLC | Dermatology | 1960 N. Ogden Street, Suite 555, Denver, CO 80218-3602 | 2020-08-05 |
| 1316577323 | Medical Man Cave Pllc | Dermatology | 250 Steele Street, Suite 350, Denver, CO 80206-5242 | 2020-01-17 |
| 1942696232 | Chante Karimkhani Aksut | Dermatology | 3920 S Hillcrest Dr, Denver, CO 80237-1110 | 2015-04-13 |
| 1245625763 | Elizabeth S Robinson | Dermatology | 3540 S Poplar St Ste 300, Denver, CO 80237-1364 | 2015-04-01 |
| 1033559646 | Shelley Yang | Dermatology | 155 S Madison St Ste 226, Denver, CO 80209-3013 | 2013-06-27 |
| 1588003628 | Phillip Herman Albright | Dermatology | 1 Polo Club Dr, Denver, CO 80209-3309 | 2013-06-21 |
| 1003173154 | Drew Michael Taylor | Dermatology | 3773 E Cherry Creek North Dr Ste 970, Denver, CO 80209-9809 | 2012-04-13 |
| 1013203769 | Danielle Marie Nelson | Dermatology | 2970 Quebec St, Suite 200, Denver, CO 80207-2931 | 2011-06-21 |
| 1659515658 | Jessica Olander | Dermatology | 425 S Cherry St Ste 907, Denver, CO 80246-1242 | 2009-04-22 |
| 1295924454 | Zeina A.w. Dajani | Dermatology | 4500 E 9th Ave Ste 640, Denver, CO 80220-3925 | 2007-10-23 |
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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.