MICHAEL DONALD PETERSON (NPI# 1184237471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184237471 |
| Entity Type | Individual |
| Full Name | MICHAEL DONALD PETERSON |
| Credential | PHARMD |
| Practice Address |
1 Burdick Expy W Minot ND 58701-4406 |
| Mailing Address |
1100 32nd Ave Se Minot ND 58701-7103 |
| Practice Telephone | 7018575550 |
| Mailing Telephone | 7013150163 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH5294 | ND | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
| 1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
| 1750651113 | Michael Peterson | Social Worker | 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 | 2012-01-03 |
| 1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
| 1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
| 1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
| 1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
| 1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
| 1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
| Street Address |
1 BURDICK EXPY W |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346882 | Brian Tin-maung | Anesthesiology | 1 Burdick Expy W, Minot, ND 58701-4406 | 2005-12-09 |
| 1972117927 | Rachel Schaan | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-09-06 |
| 1760005391 | Kennedi Marie Kautzman | Occupational Therapist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-05-18 |
| 1417593781 | Alicia Brianne Paulson | Occupational Therapist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-11-21 |
| 1558914267 | Keeley Walker | Nurse Anesthetist, Certified Registered | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-07-22 |
| 1073171864 | Alicia Flesner | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-06-05 |
| 1629636204 | Trinity Health | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-05-30 |
| 1649764770 | Dwight Remington | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-06-21 |
| 1104334564 | Tessa M Hartmann | Nurse Anesthetist, Certified Registered | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-01-18 |
| 1356858963 | Olga I O'brien | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336675818 | Mathew Klier | Pharmacist | 3425 15th St Se, Minot, ND 58701-6027 | 2017-05-03 |
| 1679019103 | Sonia Jo Mchenry | Pharmacist | 2211 16th St Nw Ste 6, Minot, ND 58703-1215 | 2017-01-08 |
| 1669806105 | Katie Heide | Pharmacist | 412 24th St Sw, Minot, ND 58701-3584 | 2013-08-31 |
| 1154760338 | Tonya Marie Mayfield | Pharmacist | 2211 16th St. Nw, Minot, ND 58703-0925 | 2013-06-20 |
| 1457799249 | Donell Adam | Pharmacist | 1804 24th St Sw, Minot, ND 58701-8102 | 2013-06-13 |
| 1952521023 | Robert A Bangen | Pharmacist | Burdick Expressway At Main, Minot, ND 58702 | 2007-04-30 |
| 1528143948 | James Bodell | Pharmacist | 1625 12th St Sw, Minot, ND 58701-6113 | 2006-10-25 |
| 1215987656 | Jan M Ness | Pharmacist | 7001 Highway 83 N, Minot, ND 58703-0240 | 2006-05-10 |
| 1972117927 | Rachel Schaan | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-09-06 |
| 1962013078 | Katherine Florine Klein | Pharmacist | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-08-12 |
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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.