JAMES MATHEW PETERSEN (NPI# 1275022964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275022964 |
| Entity Type | Individual |
| Full Name | JAMES MATHEW PETERSEN |
| Credential | PA-C |
| Practice Address |
3730 Plaza Way Ste C6100 Kennewick WA 99338-2718 |
| Mailing Address |
8524 West Gage Blvd Building A1 Box#319 Kennewick WA 99336-8241 |
| Practice Telephone | 5095910070 |
| Mailing Telephone | 5095910070 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60710620 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134439755 | James Tyler Petersen | Chiropractor | 657 W 200 N, Cedar City, UT 84720-2408 | 2010-10-15 |
| 1467672774 | James Lee Petersen | Physician Assistant | 1025 Pennock Pl Ste 1421, Fort Collins, CO 80524 | 2007-04-27 |
| 1306844030 | James G Petersen | Dentist | 607 Ne 3rd St, Prineville, OR 97754-2021 | 2005-07-07 |
| 1467087494 | James Martin Petersen | Social Worker | 137 Holton Whitehall Rd, Whitehall, MI 49461-9543 | 2020-03-10 |
| 1861040735 | James Petersen | Social Worker | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2019-09-03 |
| 1891140224 | James Petersen | Pharmacist | 2525 Chicago Ave, Inpatient Pharmacy, Minneapolis, MN 55404-4518 | 2016-05-04 |
| 1992145098 | James Robert Petersen | Emergency Medicine | 1407 N Whisenant Dr, Duncan, OK 73533 | 2013-07-03 |
| 1205136157 | James Petersen | Pharmacist | 9101 E Baseline Rd, Mesa, AZ 85209-7758 | 2010-10-26 |
| 1922219641 | James Robert Petersen | Pharmacist | 4000 University Ave, Waterloo, IA 50701-5640 | 2007-05-24 |
| 1114142072 | James T Petersen | Dentist | 1421 Nw 85th St, Suite B, Seattle, WA 98117 | 2007-04-16 |
| Street Address |
3730 PLAZA WAY STE C6100 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99338-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992970297 | William S. Waites | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2008-04-28 |
| 1245740315 | Heather Boyle | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2017-10-03 |
| 1336689421 | Joshua Israel Morgan | Nurse Practitioner | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2017-03-08 |
| 1720535453 | Nicole Michele Slade | Nurse Practitioner | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2016-09-11 |
| 1184171290 | Pinnicale Pain Center | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2016-09-07 |
| 1467859280 | Virginia Lynch | Nurse Practitioner | 3730 Plaza Way Ste C6100, Kennewick, WA 99338 | 2014-11-21 |
| 1205180551 | Deborah A Titus | Registered Nurse | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974170 | Madiha Haque | Internal Medicine | Trios Care Center, 3730 Plaza, 4th Floor, Kennewick, WA 99338 | 2017-07-13 |
| 1053719864 | Christine Boynton Tano | Speech-Language Pathologist | 10411 E Vaca Rd, Kennewick, WA 99338 | 2014-12-10 |
| 1992058895 | Jennifer Kathleen Webb | Massage Therapist | 4206 W. 24th Ave. Suite A 101, Kennewick, WA 99338 | 2012-10-17 |
| 1881999639 | Tyler Rex Thornock | Nurse Anesthetist, Certified Registered | 15205 S. Mountain Ridge Ct, Kennewick, WA 99338 | 2011-01-25 |
| 1528205812 | Christina Ann Hofstetter | Massage Therapist | 4206 W. 24th Ave, Suite B103, Kennewick, WA 99338 | 2009-01-08 |
| 1619184025 | Jennifer Candice Charron | Family Medicine | 3900 S. Zintel Way, Kennewick, WA 99338 | 2007-05-16 |
| 1821211640 | Brandon P Campbell | Chiropractor | 4303 W. 27th Avenue, Suite E, Kennewick, WA 99338 | 2007-04-10 |
| 1902936206 | Stuart Lee Smithson | Chiropractor | 2411 S. Union St., Suite C, Kennewick, WA 99338 | 2007-03-06 |
| 1467580845 | Theodore J Weber Sr. | Specialist/Technologist | 3520 Southridge Blvd, Kennewick, WA 99338 | 2007-02-28 |
| 1093868572 | Canyonview Family Eye Care LLC | Optometrist | 4309 W 27th Place, Suite 102, Kennewick, WA 99338 | 2007-01-19 |
| Find all providers in zip 99338 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1861656902 | Anthony Vincent Carabba | Physician Assistant | 4303 W 27th Ave Ste D, Kennewick, WA 99338-1986 | 2008-07-17 |
| 1992970297 | William S. Waites | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2008-04-28 |
| 1609906411 | Bruce Patrick Deleonard | Physician Assistant | Kania Clinic 3000 W Kennewick Rd., Kennewick, WA 99301 | 2007-03-07 |
| 1477635159 | Steven R Zirker | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2006-10-20 |
| 1467972646 | Timothy Salvos | Physician Assistant | 6710 W Okanogan Pl, Kennewick, WA 99336-8001 | 2017-06-20 |
| 1346778271 | Jeremiah Hendricks Price | Physician Assistant | 2828 S Olympia St, Kennewick, WA 99337-4356 | 2017-05-23 |
| 1841735388 | Laura Cunningham | Physician Assistant | 6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336-7684 | 2016-12-19 |
| 1184171290 | Pinnicale Pain Center | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2016-09-07 |
| 1396177119 | Carrie L Lamb | Physician Assistant | 6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336-7684 | 2013-08-02 |
| Find all providers in KENNEWICK | ||||
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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.