DR. CRAIG A PETERSON (NPI# 1396888640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396888640 |
| Entity Type | Individual |
| Full Name | DR. CRAIG A PETERSON |
| Credential | MD |
| Practice Address |
1229 E Seminole St Springfield MO 65804-2227 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178209393 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | R7E36 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 202118733 | 05 | |
| AR | ARK BLUE SHIELD | 81582 | 01 |
| MO | MO BLUE SHIELD | 22698 | 01 |
| AR | 111851001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649436452 | Craig Peterson | Chiropractor | 613 S Bluff Street, Twr 1, Suite 400, St George, UT 84770-3853 | 2008-07-31 |
| 1588698641 | Craig Stuart Peterson | Psychologist | 410 Arden Ave, Suite 201, Glendale, CA 91203-4006 | 2006-07-11 |
| 1619923844 | Craig Raymond Peterson | Internal Medicine | 19725 South Greeno Road, Fairhope, AL 36532-3843 | 2006-05-26 |
| 1598739054 | Craig Arthur Peterson | Urology | 1550 B East Niagara Rd, Montrose, CO 81401-5027 | 2006-02-13 |
| 1114412228 | Craig Alan Peterson | Registered Nurse | 515 22nd Ave, Monroe, WI 53566-1569 | 2018-06-30 |
| 1437644903 | Craig Peterson | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-27 |
| 1740650076 | Craig Peterson | Acupuncturist | 1570 N 115th St, Seattle, WA 98133-8401 | 2015-09-29 |
| 1467715474 | Craig A. Peterson | Dentist | 6226 14th Ave, Kenosha, WI 53143-4413 | 2012-06-25 |
| 1932421500 | Craig Neil Peterson | Pharmacist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-02-23 |
| 1922128404 | Craig Albert Peterson | Dentist | 1504 4th St Ne, Waseca, MN 56093 | 2007-03-30 |
| Street Address |
1229 E SEMINOLE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856263 | Gary L Mehlhorn | Ophthalmology | 1229 E Seminole St, Springfield, MO 65804-2227 | 2005-07-22 |
| 1265090138 | Charles Slagle | Nurse Practitioner | 1229 E Seminole St, Springfield, MO 65804-2227 | 2019-06-05 |
| 1750741112 | Ashley Hrabik | Physician Assistant | 1229 E Seminole St, Ste 520, Springfield, MO 65804-2227 | 2016-02-29 |
| 1184083263 | Lauren Stock | Physician Assistant | 1229 E Seminole St, Ste 520, Springfield, MO 65804-2227 | 2016-02-17 |
| 1730567728 | Nathan P. Schatz | Nurse Practitioner | 1229 E Seminole St, Suite 520, Springfield, MO 65804-2227 | 2015-05-11 |
| 1730566969 | Somer A. Norman | Nurse Practitioner | 1229 E Seminole St, Springfield, MO 65804-2227 | 2015-04-27 |
| 1700278835 | Ashley M. Bullard | Physician Assistant | 1229 E Seminole St, Suite 520, Springfield, MO 65804-2227 | 2015-02-26 |
| 1770984163 | Windsor M. Lake | Nurse Practitioner | 1229 E Seminole St, Suite 220, Springfield, MO 65804-2227 | 2014-09-04 |
| 1528409158 | Carrie L. Hartigan | Optometrist | 1229 E Seminole St, 4th Fl, Springfield, MO 65804-2227 | 2013-07-11 |
| 1073852604 | Kara D. Walker | Physician Assistant | 1229 E Seminole St, Suite 340, Springfield, MO 65804-2227 | 2013-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912310392 | Lucas Lenci | Ophthalmology | 1531 E Bradford Pkwy Ste 100, Springfield, MO 65804-6539 | 2014-06-03 |
| 1417375577 | Shilpa Gulati | Ophthalmology | 3640 Main St Ste 201, Springfield, MA 01107-1139 | 2014-04-04 |
| 1285900423 | Ashley Abraham | Ophthalmology | 400 N 9th St Fl 3, Springfield, IL 62702-5310 | 2012-03-30 |
| 1891072963 | Roger Bruce Schlemmer | Ophthalmology | 2733 East Battlefield Rd., #106, Springfield, MO 65804-3981 | 2011-11-03 |
| 1881905602 | An Thien Vo | Ophthalmology | 100 W Sproul Rd Ste 100, Springfield, PA 19064-2033 | 2010-06-25 |
| 1033433925 | Jessica Eva Van Looveren | Ophthalmology | 8136 Old Keene Mill Rd Ste 300b300, Springfield, VA 22152-1850 | 2010-03-21 |
| 1427212737 | Sarah Anne Hanson | Ophthalmology | 3640 Main St Ste 205, Springfield, MA 01107-1139 | 2008-07-16 |
| 1588824221 | Adam Avery Carver | Ophthalmology | 1229 E Seminole St Ste 420, Springfield, MO 65804-2227 | 2008-06-16 |
| 1689840803 | Marissa Lynn Albano | Ophthalmology | 8136 Old Keene Mill Rd Ste 300, Springfield, VA 22152-1850 | 2008-05-07 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on DR. CRAIG A PETERSON.
| 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.