ERIC W PETERSON (NPI# 1154324093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154324093 |
| Entity Type | Individual |
| Full Name | ERIC W PETERSON |
| Credential | MD |
| Practice Address |
1436 Riverchase Blvd Rock Hill SC 29732-1777 |
| Practice Telephone | 8033292636 |
| Practice Fax Number | 8033292184 |
| Mailing Telephone | 8033292636 |
| Mailing Fax Number | 8033292184 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
17811 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T18326 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1497250252 | Eric Lee Peterson | Student in an Organized Health Care Education/Training Program | 740 S Limestone Room C301, Lexington, KY 40536-0293 | 2018-03-26 |
| 1396978458 | Eric Warren Peterson | Dentist | 1101 Higrove Pkwy, Suite 105, Leeds, AL 35094-1700 | 2009-08-24 |
| 1689832628 | Eric Peterson | Dentist | 710 N Beaver St Bldg 4, Flagstaff, AZ 86001-3139 | 2008-05-27 |
| 1710955877 | Eric M Peterson | Family Medicine | 1115 S Marshall St, Boone, IA 50036-5304 | 2006-03-14 |
| 1265436059 | Eric Julian Peterson | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2005-06-09 |
| 1194346858 | Eric Dunham Peterson | Social Worker | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-05-04 |
| 1215598545 | Eric Peterson | Internal Medicine | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2019-06-26 |
| 1780111682 | Eric Christopher Peterson | Respiratory Therapist, Registered | 2435 Us Highway 19 Ste 300, Holiday, FL 34691-3909 | 2017-05-23 |
| 1376938043 | Eric Peterson | Orthopaedic Surgery | 525 E Market St, Summa Health System/orthopaedic Surgery Residency, Akron, OH 44309 | 2015-03-31 |
| Street Address |
1436 RIVERCHASE BLVD |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798757 | John E Fassler | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2005-05-24 |
| 1619444544 | Alysia Nicole Moore | Nurse Practitioner | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2018-10-29 |
| 1033690706 | Tammy Adams Fox | Nurse Practitioner | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2018-08-22 |
| 1235335456 | Satya Sai V. Bhupathi | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732 | 2007-06-25 |
| 1346303583 | Mary Margaret Liaghat | Nurse Practitioner | 1436 Riverchase Blvd, Nephrology Associates Pa, Rock Hill, SC 29732-1777 | 2006-12-19 |
| 1659469559 | Brian C Erb | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2006-10-10 |
| 1588613756 | Nephrology Associates Pa | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2006-05-08 |
| 1467429514 | Staci L Versen-rampey | Nurse Practitioner | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2006-03-07 |
| 1134118136 | Linda S Shenton | Nurse Practitioner | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2005-10-21 |
| 1124021076 | Ramesh Bhoothapuri | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2005-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1891798757 | John E Fassler | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2005-05-24 |
| 1235335456 | Satya Sai V. Bhupathi | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732 | 2007-06-25 |
| 1588613756 | Nephrology Associates Pa | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2006-05-08 |
| 1124021076 | Ramesh Bhoothapuri | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2005-05-24 |
| 1891798740 | William Robert Bixenman | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2005-05-24 |
| 1649273582 | Douglas Kelley Nicholson | Internal Medicine | 1436 Riverchase Blvd, Rock Hill, SC 29732-1777 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512353 | Maria Creciun Browne | Internal Medicine | Musc 96 Jonathan Lucas Str Room 822, Msc 629, Charleston, SC 29425-0001 | 2020-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1245719939 | Keisuke Okamoto | Internal Medicine | 96 Jonathan Lucas Street, Suite 822, Msc 629, Charleston, SC 29425 | 2018-08-13 |
| 1104332774 | Darius Lucian Lazarus | Internal Medicine | 96 Jonathan Lucas Street Musc - Csb 822 / Msc 629, Charleston, SC 29425-0001 | 2017-12-19 |
| 1689122749 | Sudarshan Bhimbra | Internal Medicine | 16 Main St # 635, Hardeeville, SC 29927-5926 | 2016-09-19 |
| 1396198800 | Karim Soliman | Internal Medicine | 171 Ashley Ave # Msc629, Charleston, SC 29425 | 2016-07-20 |
| 1427455393 | Jennifer Kinnard | Internal Medicine | 8 Orange St, Charleston, SC 29401-2408 | 2014-11-20 |
| 1073854527 | William Muirhead Turner | Internal Medicine | 131 Addis Cir, Anderson, SC 29626-5700 | 2013-03-08 |
| 1528313525 | Charis Lloyd Ellington | Internal Medicine | 727 Se Main St Ste 180, Simpsonville, SC 29681-3248 | 2012-07-17 |
| 1013291079 | Hamlet Hma Ppm LLC | Internal Medicine | 913 Oakwood St, Bennettsville, SC 29512-2459 | 2011-10-07 |
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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.