JOHN P PETERSEN MD PA (NPI# 1215151113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215151113 |
| Entity Type | Organization |
| Organization Name | JOHN P PETERSEN MD PA |
| Practice Address |
3555 10th Ct Vero Beach FL 32960-5013 |
| Mailing Address |
Po Box 100013 Atlanta GA 30384-0013 |
| Practice Telephone | 7727943333 |
| Practice Fax Number | 7725696949 |
| Mailing Telephone | 7706935818 |
| Mailing Fax Number | 7706935821 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | DR. JOHN PETER PETERSEN (PHYSICIAN) |
| Authorized Official Telephone | 7727943333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374792100 | 05 | |
| FL | RAILROAD MEDICARE | 920004346 | 01 |
| Street Address |
3555 10TH CT |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194748905 | Stephen Patterson | Internal Medicine | 3555 10th Ct, Suite 200b, Vero Beach, FL 32960-5013 | 2006-07-25 |
| 1447769377 | Catherine Westbrook | Physician Assistant | 3555 10th Ct, Vero Beach, FL 32960-5013 | 2017-09-22 |
| 1417312802 | Indian River Health Services Inc | Internal Medicine | 3555 10th Ct, Ste. 203, Vero Beach, FL 32960-5013 | 2015-12-29 |
| 1801283171 | Jonathan Braue | Dermatology | 3555 10th Ct, Vero Beach, FL 32960-5013 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038483 | Laura Lynn | Specialist | 79 Royal Palm Pt, Vero Beach, FL 32960-4253 | 2011-09-26 |
| 1134427677 | April Lynn Griffin | Specialist | 2090 6th Ave, Vero Beach, FL 32960-0906 | 2011-03-08 |
| 1942506522 | Victor Rodriguez-viera Md Pa | Specialist | 1820 43rd Ave Ste 2, Vero Beach, FL 32960-0540 | 2011-01-31 |
| 1205130713 | Dgasmd Anesthesia Consultants LLC | Specialist | 854 Island Club Sq, Vero Beach, FL 32963-5505 | 2010-12-28 |
| 1730491119 | Le'shaun Denine Williams | Specialist | 362 17th Street, Vero Beach, FL 32960-0660 | 2010-07-13 |
| 1154576866 | Vero Beach Anesthesia Group | Specialist | 1255 37th St Ste E, Vero Beach, FL 32960-6550 | 2008-11-21 |
| 1558513440 | Sabrina Bishop | Specialist | 1281 Old Dixie Hwy, Vero Beach, FL 32960-3746 | 2008-10-22 |
| 1023267283 | Laura Anne Marshaus | Specialist | 650 12th St, Vero Beach, FL 32960-5714 | 2008-09-12 |
| 1710148309 | Michael Bernard Zimmer | Specialist | 214 Rudder Rd, Vero Beach, FL 32963-2934 | 2008-06-17 |
| 1073789780 | Gary Ingwersen | Specialist | 1360 Us 1, Suite 5, Vero Beach, FL 32960-5703 | 2008-05-02 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
Please comment or provide details below to improve the information on JOHN P PETERSEN MD PA.
| 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.