DR. ANDREW CLAIR PETERSON (NPI# 1093779365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093779365 |
| Entity Type | Individual |
| Full Name | DR. ANDREW CLAIR PETERSON |
| Credential | M.D. |
| Practice Address |
1050 Sw 3rd Ave #3200 Ontario OR 97914-2193 |
| Practice Telephone | 5418817373 |
| Practice Fax Number | 5418817186 |
| Mailing Telephone | 5418817373 |
| Mailing Fax Number | 5418817186 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2009-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | M6155 | ID | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MDO9438 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003390300 | 05 | |
| OR | 153049 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723044 | Andrew J Peterson | Podiatrist | 1609 Quail Dr, Sarasota, FL 34231-3538 | 2019-01-07 |
| 1720559016 | Andrew Frederick Peterson | Dentist | 1670 Beam Ave Ste 202, Maplewood, MN 55109-1225 | 2018-12-11 |
| 1619318755 | Andrew Gregory Peterson | Dentist | 15962 Boones Ferry Rd Ste 108, Lake Oswego, OR 97035-4359 | 2013-07-16 |
| 1326184953 | Andrew A Peterson | Dentist | 215 Justice St, Fremont, OH 43420-2420 | 2007-01-30 |
| 1477601698 | Andrew M Peterson | Pharmacist | 508 Garwood Dr, Cherry Hill, NJ 08003-3406 | 2007-01-05 |
| 1144337338 | Andrew Eric Peterson | Chiropractor | 1251 Shell Beach Rd, Pismo Beach, CA 93449 | 2006-08-24 |
| 1306826854 | Andrew J. Peterson | Internal Medicine | 147 Reynoir Street, Suite 101, Biloxi, MS 39530 | 2006-01-20 |
| 1649877069 | Andrew Peterson | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2020-10-08 |
| 1255995536 | Andrew Curtis Peterson | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2019-04-23 |
| 1679028534 | Andrew Peterson | Physical Therapist | 360 Dardanelli Ln, Suite 1f, Los Gatos, CA 95032-1421 | 2016-08-22 |
| Street Address |
1050 SW 3RD AVE #3200 |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892104 | Frank J Spokas Jr. | Surgery | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914 | 2005-06-22 |
| 1407265838 | Logan Bake | Physical Therapist | 1050 Sw 3rd Ave, Ontario, OR 97914-2193 | 2014-08-11 |
| 1649619966 | Ashley Rene Kossick | Speech-Language Pathologist | 1050 Sw 3rd Ave, Ontario, OR 97914-2193 | 2013-06-19 |
| 1518236785 | Stephanie Candice Johnson Mooney | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914 | 2011-12-17 |
| 1760779904 | Micah James Wilson | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 | 2011-07-08 |
| 1093034159 | Saint Alphonsus Medical Center - Ontario, Inc. | Podiatrist | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 | 2010-05-27 |
| 1538306725 | Richard T. Davis, Md PC | Orthopaedic Surgery | 1050 Sw 3rd Ave, Suite 1200, Ontario, OR 97914-2193 | 2009-01-09 |
| 1063692028 | Andrew W. Allen | Anesthesiology | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914-2193 | 2007-11-07 |
| 1518167634 | Ontario Ear, Nose and Throat | Otolaryngology | 1050 Sw 3rd Ave, Suite 3600, Ontario, OR 97914-2193 | 2007-07-18 |
| 1508083635 | Pamela Pember Bruce | Surgery | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587670 | Physicians of Southern California Inc | Internal Medicine | 1304 W Holt Blvd Ste A, Ontario, CA 91762-3640 | 2020-10-29 |
| 1093193708 | Orion Internal Medicine Associates, Apc | Internal Medicine | 1030 N Mountain Ave, Suite#206, Ontario, CA 91762-2114 | 2015-05-13 |
| 1285011171 | Samuel Raymond | Internal Medicine | 2054 E Yale St Apt B, Ontario, CA 91764-6826 | 2015-04-30 |
| 1386083780 | Dianne Elizabeth Quintana | Internal Medicine | 2680 E Riverside Dr, Ontario, CA 91761 | 2013-06-18 |
| 1306004114 | Erdem Aktunc | Internal Medicine | 2529 Patricia Ave, Ontario, OR 97914-5306 | 2008-05-28 |
| 1316105505 | David Hernandez-rodriguez Md Inc. | Internal Medicine | 517 East Holt Street, Ontario, CA 91761-1704 | 2008-05-25 |
| 1871627331 | Ujwala Pagedar | Internal Medicine | 2131 Park Ave W, Ontario, OH 44906-1226 | 2007-03-15 |
| 1366516718 | David Herbert Daniels | Internal Medicine | 3535 Inland Empire Blvd, Suite 27, Ontario, CA 91764-4908 | 2006-11-20 |
| 1881790251 | Kishan Thapar | Internal Medicine | 4150 Concours Ste 100, Ontario, CA 91764-5914 | 2006-09-15 |
| 1477567485 | John H Phillips | Internal Medicine | 1037 Sw 5th Ave, Ontario, OR 97914-3301 | 2006-07-27 |
| Find all providers in ONTARIO | ||||
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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.