DR. ANDREW J. PETERSON (NPI# 1306826854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306826854 |
| Entity Type | Individual |
| Full Name | DR. ANDREW J. PETERSON |
| Credential | D.O. |
| Practice Address |
147 Reynoir Street Suite 101 Biloxi MS 39530 |
| Practice Telephone | 2283742051 |
| Practice Fax Number | 2283745741 |
| Mailing Telephone | 2283742051 |
| Mailing Fax Number | 2283745741 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 20037 | MS | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0102201779 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01977252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723044 | Andrew J Peterson | Podiatrist | 1609 Quail Dr, Sarasota, FL 34231-3538 | 2019-01-07 |
| 1720559016 | Andrew Frederick Peterson | Dentist | 1670 Beam Ave Ste 202, Maplewood, MN 55109-1225 | 2018-12-11 |
| 1619318755 | Andrew Gregory Peterson | Dentist | 15962 Boones Ferry Rd Ste 108, Lake Oswego, OR 97035-4359 | 2013-07-16 |
| 1326184953 | Andrew A Peterson | Dentist | 215 Justice St, Fremont, OH 43420-2420 | 2007-01-30 |
| 1477601698 | Andrew M Peterson | Pharmacist | 508 Garwood Dr, Cherry Hill, NJ 08003-3406 | 2007-01-05 |
| 1144337338 | Andrew Eric Peterson | Chiropractor | 1251 Shell Beach Rd, Pismo Beach, CA 93449 | 2006-08-24 |
| 1649877069 | Andrew Peterson | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2020-10-08 |
| 1255995536 | Andrew Curtis Peterson | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2019-04-23 |
| 1679028534 | Andrew Peterson | Physical Therapist | 360 Dardanelli Ln, Suite 1f, Los Gatos, CA 95032-1421 | 2016-08-22 |
| 1952783698 | Andrew Joseph Peterson | Family Medicine | 110 N Hospital Dr, Fulton, MO 65251-2511 | 2015-06-18 |
| Street Address |
147 REYNOIR STREET SUITE 101 |
| City | BILOXI |
| State | MS |
| Zip Code | 39530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649232117 | Regina Clare Mills | Internal Medicine | 147 Reynoir Street, Suite 101, Biloxi, MS 39530 | 2006-04-03 |
| 1083676548 | Bennett W Cheney | Internal Medicine | 147 Reynoir Street, Suite 204, Biloxi, MS 39530 | 2006-04-03 |
| 1790747269 | Gholam Reza Motakhaveri | Internal Medicine | 147 Reynoir Street, Suite 204, Biloxi, MS 39530 | 2006-04-03 |
| 1962464438 | Biloxi Internal Medicine Clinic Pa | Internal Medicine | 147 Reynoir Street, Suite 204, Biloxi, MS 39530 | 2006-04-03 |
| 1659333052 | Yashashree L Bethala | Internal Medicine | 147 Reynoir Street, Suite 101, Biloxi, MS 39530 | 2006-04-03 |
| 1386604676 | Kirsten Marie Pinto | Nurse Practitioner | 147 Reynoir Street, Suite 204, Biloxi, MS 39530 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
| 1366707713 | Makeva K Reed | Nurse Practitioner | 321 Division St, Biloxi, MS 39530 | 2012-07-11 |
| 1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
| 1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
| 1881891265 | Tina Fleming Mcgrew | Nurse Practitioner | 321-b Divison Street, Biloxi, MS 39530 | 2007-06-29 |
| 1285857623 | South Mississippi Nephrology, Pllc | Internal Medicine | 784 Vieux Marche, Biloxi, MS 39530 | 2007-04-11 |
| 1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1922069715 | Garvin Wallace Cunningham | Dentist | 683 Division St, Biloxi, MS 39530 | 2006-03-31 |
| Find all providers in zip 39530 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1609203173 | Memorial Hospital At Gulfport | Internal Medicine | 1756 Popps Ferry Rd Ste A, Biloxi, MS 39532-2118 | 2013-09-30 |
| 1285845933 | Azad Alamgir Kabir | Internal Medicine | 1120 Beach Blvd, Biloxi, MS 39530-3631 | 2007-05-24 |
| 1770705204 | Syeda Shaista Rumman | Internal Medicine | 400 Veterans Ave Bldg 3, Room 126d, Biloxi, MS 39531-2410 | 2007-05-03 |
| 1942367164 | Rachael F Tadlock | Internal Medicine | 1721 Medical Park Dr Ste 101, Biloxi, MS 39532-2105 | 2007-01-03 |
| 1346322880 | Tricia K Aultman | Internal Medicine | 1009 Tommy Munro Dr, Biloxi, MS 39532-2100 | 2006-10-20 |
| 1891729190 | Hammed Kehinde Olarinde | Internal Medicine | Va Gulf Coast Vets Hcs, 400 Veterans Avenue, Biloxi, MS 39531 | 2006-07-10 |
| 1164450359 | Gulf Coast Internal Medicine Pllc | Internal Medicine | 1721 Medical Park Dr, Ste 101, Biloxi, MS 39532 | 2006-06-28 |
| 1083661946 | Belinda Alexander | Internal Medicine | 2771 Pass Rd, Suite A, Biloxi, MS 39531-2600 | 2006-05-27 |
| 1558323964 | Dawn Mae Hansen | Internal Medicine | 2550 Pass Rd, Biloxi, MS 39531-2726 | 2006-04-03 |
| 1598258386 | Levi Dodge | Internal Medicine | 500 Fisher St, Biloxi, MS 39534-2502 | 2018-06-07 |
| Find all providers in BILOXI | ||||
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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.