MR. LOWELL FRANK PETERSON (NPI# 1235181611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235181611 |
| Entity Type | Individual |
| Full Name | MR. LOWELL FRANK PETERSON |
| Credential | MD |
| Practice Address |
2627 Beechwood Court Appleton WI 54911 |
| Practice Telephone | 9207398004 |
| Practice Fax Number | 9202251479 |
| Mailing Telephone | 9207398004 |
| Mailing Fax Number | 9202251479 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-10-03 |
| NPI Deactivation Date | 09/24/2009 |
| NPI Reactivation Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 14668-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14668-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31153400 | 05 |
| Street Address |
2627 BEECHWOOD COURT |
| City | APPLETON |
| State | WI |
| Zip Code | 54911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1548582547 | Moe Zafarani | Internal Medicine | 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 | 2010-02-18 |
| 1831176338 | Thomas M Tamlyn | Internal Medicine | 5045 W Grande Market Dr, Appleton, WI 54913-8517 | 2005-12-27 |
| 1053884478 | Heart and Vascular of Wisconsin, Sc | Internal Medicine | 5045 W Grande Market Dr, Appleton, WI 54913-8517 | 2019-01-08 |
| 1518275718 | Agei Oben Enoh | Internal Medicine | 1506 S Oneida St, Appleton, WI 54915-1305 | 2010-09-22 |
| 1346404076 | Babar Parvez | Internal Medicine | 1818 N Meade St, Appleton, WI 54911-3454 | 2008-07-11 |
| 1255522801 | Simone A Fearon | Internal Medicine | 1818 N Meade St, Appleton, WI 54911 | 2007-08-08 |
| 1689774515 | Ramamohan V Turlapati | Internal Medicine | 820 E Grant Street, Appleton, WI 54911 | 2006-09-22 |
| 1265427496 | Patrick D Obrien | Internal Medicine | 1506 S Oneida St, Appleton, WI 54915-1305 | 2005-09-14 |
| 1992790471 | Fredric L Hildebrand Jr. | Internal Medicine | 1506 S Oneida St, Appleton, WI 54915-1305 | 2005-09-12 |
| 1447245964 | Patrick B Gregory | Internal Medicine | 1506 S Oneida St, Appleton, WI 54915-1305 | 2005-09-12 |
| Find all providers in APPLETON | ||||
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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.