DR. JOHN E PETERSON (NPI# 1346249554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346249554 |
| Entity Type | Individual |
| Full Name | DR. JOHN E PETERSON |
| Credential | MD |
| Practice Address |
9119 W 74th St Suite 350 Shawnee Mission KS 66204-2215 |
| Mailing Address |
901 E 104th St Mailstop 400s Kansas City MO 64131 |
| Practice Telephone | 9137893290 |
| Practice Fax Number | 9137893208 |
| Mailing Telephone | 8169311883 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R4J15 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Ne Saint Lukes Blvd Ste 240, Lees Summit, MO 640866019 | 8169311883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361119 | John Kendall Peterson Jr. | Respiratory Therapist, Registered | 522 Old Colony Rd, South Abington Township, PA 18411-1604 | 2020-06-17 |
| 1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
| 1740567437 | John Peterson | Durable Medical Equipment & Medical Supplies | 23649 Castle Rock, Mission Viejo, CA 92692-1897 | 2011-11-08 |
| 1366738486 | John M Peterson | Optometrist | 545 S Broadway Ste 500, Denver, CO 80209-4076 | 2011-06-27 |
| 1598905929 | John Michael Peterson | Dentist | 12427 S 4000 W, Ste 200, Riverton, UT 84065 | 2009-02-25 |
| 1457476723 | John R Peterson | Dentist | 3207 Saint Paul Blvd, Rochester, NY 14617-3436 | 2007-03-19 |
| 1295875953 | John Gregory Peterson | Dentist | 9201 W Overland Rd, Boise, ID 83709-2502 | 2007-02-08 |
| 1912065483 | John R Peterson | General Practice | 212 S Mill St, Rushford, MN 55971 | 2006-12-05 |
| 1154404226 | John M Peterson | Neuromusculoskeletal Medicine & OMM | 72 Barre St, Montpelier, VT 05602-3508 | 2006-10-23 |
| 1952408577 | John Michael Peterson | Dentist | 349 W Center St, West Bridgewater, MA 02379-1621 | 2006-09-17 |
| Street Address |
9119 W 74TH ST SUITE 350 |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66204-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360743 | Jay A Jackson | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2005-07-19 |
| 1720437007 | Health Partnership Clinic, Inc | Clinic/Center | 9119 W 74th St, Ste 210, Shawnee Mission, KS 66204-2229 | 2016-06-08 |
| 1659730901 | Emily Ingenthron | Physician Assistant | 9119 W 74th St, Suite 150, Shawnee Mission, KS 66204-2215 | 2016-02-15 |
| 1578953162 | Elli Roberts | Physician Assistant | 9119 W 74th St, Suite 150, Shawnee Mission, KS 66204-2215 | 2015-02-03 |
| 1982853610 | M Obadah Al Chekakie | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2008-09-18 |
| 1740455203 | Heath Garris Wilt | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2008-04-25 |
| 1235329889 | Francisco Javier Reyes Martin | Surgery | 9119 W 74th St, Suite 255, Shawnee Mission, KS 66204-2215 | 2007-07-30 |
| 1295814135 | Amy Lynn Giedt | Obstetrics & Gynecology | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-11-02 |
| 1457438376 | Heidi Louise Peck | Physician Assistant | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-11-01 |
| 1992887178 | Ana M Martinez | Obstetrics & Gynecology | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| 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 |
|---|---|---|---|---|
| 1558360743 | Jay A Jackson | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2005-07-19 |
| 1154320414 | Jhulan Mukharji | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2005-07-19 |
| 1104825462 | William S Ritter | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417347857 | Kansas Vascular Medicine, P.a. | Internal Medicine | 6130 E Central Ave Ste 117, Wichita, KS 67208-4238 | 2015-01-23 |
| 1083010458 | Mancina Cardiovascular Medicine | Internal Medicine | 1601 Washington Blvd, Kansas City, KS 66102-2841 | 2014-11-13 |
| 1225303563 | Shone Oscar Almeida | Internal Medicine | 5100 W 110th St Fl 2, Overland Park, KS 66211-1215 | 2012-03-20 |
| 1114234101 | James Clinton Mershon | Internal Medicine | 7617 E Donegal St, Wichita, KS 67206-1613 | 2010-09-12 |
| 1932369238 | Sherman M. Steinzeig | Internal Medicine | 6620 W 93rd St, Apt. A, Overland Park, KS 66212-1303 | 2008-06-11 |
| 1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
| 1790834950 | Amit Kumar | Internal Medicine | 6730 Sw 29th St Ste 200, Topeka, KS 66614-5650 | 2007-01-09 |
| 1316013469 | Eecp Heart Center of Kansas Inc | Internal Medicine | 551 N Hillside St Ste 130, Wichita, KS 67214-4924 | 2006-11-28 |
| 1770684912 | Ronnie G. Smalling | Internal Medicine | 11025 Metcalf Avenue, Overland Park, KS 66210 | 2006-09-26 |
| 1356454912 | Thomas L Rosamond | Internal Medicine | 4000 Cambrodge Street Ste G600, Kansas City, KS 66160-8501 | 2006-08-17 |
| Find all providers with the same taxonomy | ||||
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
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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.