LISA M PETERSON


Address: 180 W Grange Ave, Milwaukee, WI 53207-6030
Phone: 4147477730

LISA M PETERSON (NPI# 1336131986) 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) 1336131986
Entity Type Individual
Full Name LISA M PETERSON
Credential D.O.
Practice Address 180 W Grange Ave
Milwaukee
WI 53207-6030
Practice Telephone 4147477730
Practice Fax Number 4147477722
Mailing Telephone 4147477730
Mailing Fax Number 4147477722
Enumeration Date 2005-08-19
Last Update Date 2019-04-10
NPI Deactivation Date 03/21/2006
NPI Reactivation Date 2006-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
42769 WI Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
42769 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 43548700 05

Other Providers LISA PETERSON

NPI Name Taxonomy Address Enumeration
1265952592 Lisa Peterson Physical Therapy Assistant 893 94th St, Pleasant Prairie, WI 53158-4911 2017-06-27
1497154033 Lisa Peterson Speech-Language Pathologist 407 N Foster St, Center, MO 63436-1026 2014-08-20
1528467503 Lisa Peterson Marriage & Family Therapist 3240 W Foster Ave, Suite A, Chicago, IL 60625-4828 2014-08-15
1518204734 Lisa Lynn Peterson Counselor 405 Goldridge Dr, Georgetown, TX 78633-1989 2013-01-08
1790056554 Lisa Peterson Nurse Practitioner 12629 Se 54th St, Bellevue, WA 98006-2916 2012-01-25
1265697676 Lisa Ann Peterson Social Worker 8366 Mary Lee Ln, Laurel, MD 20723-1192 2008-07-24
1619156411 Lisa M Peterson Physician Assistant 1500 14th St W Ste 300, Williston, ND 58801-4079 2007-10-29
1962514869 Lisa A Peterson Counselor 110 Elmwood Ave, Providence, RI 02907-2423 2006-08-31
1154983682 Lisa Marie Peterson Counselor 784 High St, San Luis Obispo, CA 93401-5243 2019-07-04
1013480631 Lisa Jane Peterson Speech-Language Pathologist 3430 Burnet Ave # 4011, Cincinnati, OH 45229-2833 2019-01-07

Office Location

Street Address 180 W GRANGE AVE
City MILWAUKEE
State WI
Zip Code 53207-6030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376568006 Aurora Pharmacy Inc Pharmacy 180 W Grange Ave, Milwaukee, WI 53207-6030 2006-07-13
1093765612 David A Rein Internal Medicine 180 W Grange Ave, Milwaukee, WI 53207-6030 2006-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497304117 Diane Wisch Technician 3602 S. 4th, Mil, WI 53207 2019-09-05
1811384464 Megan O Bedolla Emergency Medicine 2338 E Ohio Ave, Milwaukee, WI 53207 2015-04-21
1255677563 Jon Arthur Toppen Counselor 2637 S Fulton St, Milwaukee, WI 53207 2012-12-14
1720316730 Paula Maria Ortega Flores Massage Therapist 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 2009-12-02
1306087127 Theron Mills Counselor 3073 S. Chase Ave., Suite 326, Milwaukee, WI 53207 2009-03-09
1841438769 Counseling & Transition Center Inc Clinic/Center 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 2009-01-30
1679727812 Well-rounded, LLC Clinic/Center 2455 S. Howell Ave., Milwaukee, WI 53207 2008-11-14
1316154024 Christian T. Harteau Student in an Organized Health Care Education/Training Program 3174 S Howell Ave, Milwaukee, WI 53207 2007-05-16
1316008303 Thomas Fisher Clinical Neuropsychologist 2419 S. Lenox Street, Milwaukee, WI 53207 2006-12-13
1750470811 David Alan Duter Technician, Other Uscg Sector Lake Michigan/hs Div, 2420 S. Lincoln Memorial Dr., Milwaukee, WI 53207 2006-10-12
Find all providers in zip 53207

Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093948895 Ricardo Sanga Internal Medicine 106 W Seeboth St Unit 1101, Milwaukee, WI 53204-4331 2009-08-26
1811001720 Tasleem Raza Internal Medicine Clement J Zablocki Veterans Affairs Medical Ctr, 5000 W. National Avenue, Milwaukee, WI 53295-0001 2006-08-18
1740241793 Raed A Hamed Internal Medicine 8500 W Capitol Dr, Suite 202b, Milwaukee, WI 53222-1869 2006-03-30
1538556766 Chidinma L Onweni Internal Medicine 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 2015-04-26
1215355011 Mark Barash Internal Medicine 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2014-03-31
1174949523 Abbas Ali Md Sc Internal Medicine 7733 W Burleigh St, Milwaukee, WI 53222-5003 2014-03-10
1295171833 Ruth L Musselman Internal Medicine 2900 W Oklahoma Ave, Milwaukee, WI 53215 2013-05-21
1265775993 Jason Scott Prudom Internal Medicine 3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532 2013-04-01
1023366010 Mihir S Shah Internal Medicine 2901 W Kinnickinnic River Pkwy Ste 315, Milwaukee, WI 53215-3660 2012-08-22
1154699072 Raed Hamed Md LLC Internal Medicine 8500 W Capitol Dr, Suite 202b, Milwaukee, WI 53222-1869 2011-12-06
Find all providers in MILWAUKEE

Competitor

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City MILWAUKEE
Zip Code 53207

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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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