DR. STACY L PETERSON


Address: 818 N Emporia St, Suite 305, Wichita, KS 67214-3729
Phone: 3162651441

DR. STACY L PETERSON (NPI# 1316030638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316030638
Entity Type Individual
Full Name DR. STACY L PETERSON
Credential M.D.
Practice Address 818 N Emporia St
Suite 305
Wichita
KS 67214-3729
Practice Telephone 3162651441
Practice Fax Number 3162651685
Mailing Telephone 3162651441
Mailing Fax Number 3162651685
Enumeration Date 2006-09-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
0419242 KS Allopathic & Osteopathic Physicians

Other Providers STACY PETERSON

NPI Name Taxonomy Address Enumeration
1992259519 Stacy Peterson Counselor 2 5th St N Ste 202, Great Falls, MT 59401-4011 2016-08-11
1518234913 Stacy Elizabeth Peterson Speech-Language Pathologist 1004 Inwood Dr, Hurst, TX 76053-4129 2011-11-29
1922522838 Stacy Peterson Social Worker 9409 N Haggerty Rd, Plymouth, MI 48170-4696 2017-08-01
1730627571 Stacy Peterson Behavior Technician 355 Citrus Tower Blvd, Suite 116, Clermont, FL 34711-6501 2017-02-01
1295167922 Stacy Lashunn Peterson Counselor 501 W Columbus St, Bakersfield, CA 93301 2013-08-05
1821314774 Stacy M. Peterson Social Worker 405 Clement St, Suite #2, San Francisco, CA 94118-2317 2010-04-18
1942460563 Stacy Peterson Developmental Therapist 8615 Crawford Ave, Skokie, IL 60076-2125 2008-06-17
1356515704 Stacy Peterson Anesthesiology 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2008-04-16
1952416489 Stacy Peterson Emergency Medicine 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2006-08-21

Office Location

Street Address 818 N EMPORIA ST
SUITE 305
City WICHITA
State KS
Zip Code 67214-3729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033116835 Duane L Osborne Surgery 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 2005-07-07
1053727800 Tracy D Smith Nurse Practitioner 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 2014-07-01
1336401082 Aaron Nilhas Surgery 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 2012-06-08
1205164282 Bernard T. Poole, Md, Pa Orthopaedic Surgery 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 2009-12-02
1679704845 Julianna M Bergkamp Nurse Practitioner 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 2009-08-05
1609004316 Amanda M Valliant Internal Medicine 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 2009-07-01
1730320367 Kathy Ornelas Specialist/Technologist, Other 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 2009-03-11
1437316387 Ronnie K Moussa Internal Medicine 818 N Emporia St, Suite 310, Wichita, KS 67214-3729 2008-05-19
1104025949 Wissam Saliba Internal Medicine 818 N Emporia St, Wichita, KS 67214-3729 2007-07-12
1528263043 Jeremy Deutsch Internal Medicine 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 2007-06-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124591185 Laquita Patrice Boyede Durable Medical Equipment & Medical Supplies 1503 Northeast Parkway, Wichita, KS 67214 2019-01-02
1891270674 Kathryn Denise Boomer Physician Assistant 929 St. Francis N, Wichita, KS 67214 2018-09-27
1447756457 Cardinal Health 132 LLC Pharmacy 527 N Grove Street, Suite 100, Wichita, KS 67214 2018-03-30
1023517174 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3243 E Murdock Street, Level G, Wichita, KS 67214 2018-02-05
1558887901 Shonnetta Lachan Gabriel Counselor 2707 E. 21st St. N, Wichita, KS 67214 2017-08-17
1417492174 Walgreen Co Durable Medical Equipment & Medical Supplies 803 N Broadway Ave, Wichita, KS 67214 2017-01-04
1952850653 Rachel J Johnson Counselor 805 N Volutsia, Wichita, KS 67214 2016-09-23
1063899813 Christy Lee Foos Social Worker 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 2015-04-30
1952708018 William Schroeder Fargo Specialist 701 N. Emporia, Wichita, KS 67214 2014-12-04
1447692710 Valeriya V Hunter Dentist 527 N Grove, Wichita, KS 67214 2013-07-26
Find all providers in zip 67214

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598724031 Nicky R Wheeler Surgery 1700 Waterfront Parkway, Bldg 200, Wichita, KS 67206 2006-03-22
1760478713 Joseph T Poggi Surgery 3510 N. Ridge Road, Suite 100, Wichita, KS 67205-1210 2005-09-26
1528225166 Mitchell Flurry Surgery 1947 N Founders Cir, Wichita, KS 67206-3548 2008-05-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396802898 Eric Swanson Surgery 11413 Ash, Leawood, KS 66211 2007-01-03
1235184888 Plastic Surgery, P.a. Surgery 4701 College Blvd, Suite 206, Leawood, KS 66211-1603 2006-05-23
1598748055 Mona A Rane Surgery 109 E. 11th Street, Liberal, KS 67901-2762 2005-11-29
1609436815 Kalila Anne Steen Surgery 4801 W 135th St, Leawood, KS 66224-8901 2019-06-19
1891247326 Lawrence Physicians LLC Surgery 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 2016-11-01
1538403175 Singhal Plastic Surgery Pa Surgery 5250 W 94th Ter, Prairie Village, KS 66207-2502 2012-11-20
1750642450 Heather Lorita Pena Surgery 823 Sw Mulvane St, Ste 200, Topeka, KS 66606-1764 2012-05-30
1043570823 Elizabeth Anne Killion Surgery 4801 W 135th St, Leawood, KS 66224 2012-05-25
1578839940 Anita Scarlett Aldrich Surgery 1130 W 4th St Ste 3202, Lawrence, KS 66044 2012-03-29
1457689770 Center for Plastic Surgery, Pa Surgery 631 Sw Horne St, Suite 400, Topeka, KS 66606-1694 2009-11-24
Find all providers with the same taxonomy

Competitor

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City WICHITA
Zip Code 67214

Improve Information

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Dataset Information

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.

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