DR. MICHAEL D PETERS (NPI# 1194775429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194775429 |
Entity Type | Individual |
Full Name | DR. MICHAEL D PETERS |
Credential | M.D. |
Practice Address |
9825 Hospital Dr Suite Ll-10 Maple Grove MN 55369-4479 |
Practice Telephone | 6123392836 |
Practice Fax Number | 7634203376 |
Mailing Telephone | 6123392836 |
Mailing Fax Number | 7634203367 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2012-10-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
44049 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
1134571235 | Michael Peters | Military Health Care Provider | 2830 Tuscaloosa St, San Diego, CA 92110-4264 | 2016-07-13 |
1811216872 | Michael S Peters | Chiropractor | 1218 Nw 21st Ave, Portland, OR 97209-1609 | 2010-05-28 |
1770802696 | Michael D Peters | Psychologist | 5814 La Salle Ave, Oakland, CA 94611-3210 | 2010-05-18 |
1871756296 | Michael K Peters | Dentist | 1866 Haslett Rd, East Lansing, MI 48823 | 2008-07-07 |
1790835460 | Michael Howard Peters | Psychologist | 37 Riviera Dr, Selden, NY 11784-1765 | 2007-01-12 |
1689698714 | Michael Robert Peters | Dentist | 3625 S Soncy Rd, Amarillo, TX 79119-6402 | 2006-07-26 |
1033159918 | Michael E Peters | Physical Therapist | 1675 Lance Pointe Rd, Maumee, OH 43537-1603 | 2006-06-07 |
1023005097 | Michael E Peters | Family Medicine | 3360 Lacrosse Ln, Suite 106, Naperville, IL 60564-8136 | 2005-10-04 |
1306839766 | Michael Peters | Optometrist | 14460 New Falls of Neuse, Raleigh, NC 27614-8227 | 2005-08-31 |
Street Address |
9825 HOSPITAL DR SUITE LL-10 |
City | MAPLE GROVE |
State | MN |
Zip Code | 55369-4479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740255884 | Dana M Carlson | Surgery | 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 | 2006-02-22 |
1295283075 | Marian Laura Elizabeth Keillor | Advanced Practice Midwife | 9825 Hospital Dr, #205, Maple Grove, MN 55369-4479 | 2016-09-21 |
1609323393 | Jennifer Renae Narveson | Nurse Practitioner | 9825 Hospital Dr, Ste 205, Maple Grove, MN 55369-4479 | 2016-09-09 |
1528477197 | Courtney Lynn Kovacs | Physical Therapist | 9825 Hospital Dr, Suite 104, Maple Grove, MN 55369-4479 | 2014-08-08 |
1356757637 | Ashley Waldock | Audiologist | 9825 Hospital Dr, Suite Ll-10, Maple Grove, MN 55369-4479 | 2014-07-07 |
1255744694 | Elizabeth Becker | Registered Nurse | 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 | 2014-06-03 |
1639510795 | Megan E Fasching | Physician Assistant | 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 | 2013-07-17 |
1952661357 | Bridget Miskowiec Carlson | Audiologist | 9825 Hospital Dr, Suite Ll 10, Maple Grove, MN 55369-4479 | 2012-05-21 |
1245510031 | Sara Lindgren | Hearing Instrument Specialist | 9825 Hospital Dr, Ll10, Maple Grove, MN 55369-4479 | 2011-08-24 |
1508199423 | Kelly R Ihry | Nurse Practitioner | 9825 Hospital Dr, #205, Maple Grove, MN 55369 | 2009-09-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
Find all providers in zip 55369 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427493485 | Ronald J Schroeder II | Otolaryngology | 2080 Woodwinds Dr Ste 220, Woodbury, MN 55125-2529 | 2013-05-05 |
1851518674 | Edward Henry Szachowicz | Otolaryngology | 7373 France Av. So., Suite #508, Edina, MN 55435-4549 | 2007-04-20 |
1306842711 | Rick Lee Nissen | Otolaryngology | 8714 Lyndale Ave S, Minneapolis, MN 55420-2738 | 2005-06-22 |
1669897500 | Casey Fisher | Otolaryngology | 3366 Oakdale Ave N Ste 150, Robbinsdale, MN 55422-2978 | 2014-03-02 |
1316212632 | Brett James Baldwin | Otolaryngology | 1421 Premier Dr, Mankato, MN 56001-6076 | 2012-03-20 |
1891089850 | Nathan Daniel Johnson | Otolaryngology | 2211 Park Ave, Minneapolis, MN 55404-3711 | 2011-06-07 |
1265583652 | Kurtis A. Waters, M.d., P.a. | Otolaryngology | 13359 Isle Dr, Suite 1, Baxter, MN 56425-2221 | 2007-01-15 |
1043256357 | Christopher John Tolan | Otolaryngology | 2080 Woodwinds Drive, #240, Woodbury, MN 55125 | 2006-06-22 |
City | MAPLE GROVE |
Zip Code | 55369 |
Please comment or provide details below to improve the information on DR. MICHAEL D PETERS.
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.