GARY PETERSON


Address: 103 Edwards Ridge Rd, Chapel Hill, NC 27517-9201
Phone: 9199291171

GARY PETERSON (NPI# 1417065566) 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) 1417065566
Entity Type Individual
Full Name GARY PETERSON
Credential M.D.
Practice Address 103 Edwards Ridge Rd
Chapel Hill
NC 27517-9201
Mailing Address Po Box 1247
Chapel Hill
NC 27514-1247
Practice Telephone 9199291171
Practice Fax Number 9199291174
Mailing Telephone 9199297769
Enumeration Date 2006-08-28
Last Update Date 2010-10-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
28553 NC Allopathic & Osteopathic Physicians
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
28553 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS-NC 67227 01

Other Providers GARY PETERSON

NPI Name Taxonomy Address Enumeration
1417299074 Gary L Peterson Veterinarian 1220 S State St, Salt Lake City, UT 84111-4535 2013-03-21
1447557616 Gary G Peterson Physical Therapist 4461 Woodbridge Rd, Niceville, FL 32578-2387 2011-02-23
1114130465 Gary Glen Peterson Psychologist 675 Sun Valley Road, C, Ketchum, ID 83340 2007-05-07
1518006147 Gary S Peterson Dentist 123 S Stone Ave, Tucson, AZ 85701-1914 2007-02-06
1164589610 Gary Robert Peterson Counselor 1538 The Greens Way Ste 101, Jacksonville Beach, FL 32250-1400 2007-01-03
1285799304 Gary Ray Peterson Dentist 3815 Stephens Ave, Missoula, MT 59801-8505 2006-12-27
1629163514 Gary Lee Peterson Chiropractor 7100 Menaul Blvd Ne, Albuquerque, NM 87110-3688 2006-10-04
1699724955 Gary M Peterson Family Medicine 4702 Grand Ave, Duluth, MN 55807-2742 2006-05-06
1831541812 Gary Daniel Peterson Anesthesiology 6000 Hospital Dr, Hannibal, MO 63401-6887 2016-07-01
1114384039 Gary Peterson Counselor 8495 Crater Lake Hwy, White City, OR 97503-3011 2016-01-22

Office Location

Street Address 103 EDWARDS RIDGE RD
City CHAPEL HILL
State NC
Zip Code 27517-9201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669953543 Bart Nathaniel Satterfield Iv Physical Therapist 801 W Barbee Chapel Rd Ste 100, Chapel Hill, NC 27517 2018-08-28
1144740788 Michael Mendsen Optometrist 2226 Nelson Hwy # 200, Chapel Hill, NC 27517 2017-06-25
1811426406 Ivette Landrian Dentist 3 Wellesley Pl, Chapel Hill, NC 27517 2017-06-07
1932637568 Irena Dujmovic Basuroski Psychiatry & Neurology 194 Finley Golf Course Road, Suite 200, Chapel Hill, NC 27517 2017-05-26
1629505334 Chelsea Michelle Bates Audiologist 2227 Nelson Highway, Suite 102, Chapel Hill, NC 27517 2017-05-12
1184170805 Samuel Harrison Farber Student in an Organized Health Care Education/Training Program 6509 Glen Forest Dr., Chapel Hill, NC 27517 2016-09-01
1053868521 Rwa Center Occupational Therapist 11470 Us 15-501 Hwy N, Chapel Hill, NC 27517 2016-09-01
1629521372 Sherwood Chiropractic Pllc Chiropractor 50101 Governors Drive, Suite 120, Chapel Hill, NC 27517 2016-07-29
1255789087 Kelli Elizabeth Tart Nurse Practitioner 801 S Barbee Chapel Rd, Suite 200, Chapel Hill, NC 27517 2016-06-02
1629425236 Kimberly Aaron Respiratory Therapist, Registered 9329 Nc Hwy 33e, Chapel Hill, OH 27517 2016-05-24
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457986416 Benjamin Boris Brodey Psychiatry & Neurology 201 E Rosemary St, Chapel Hill, NC 27514-3529 2020-03-10
1386179042 Erica Swanson Hatch Psychiatry & Neurology Unc Dept of Psychiatry 101 Manning Dr, Cb# 7160, Chapel Hill, NC 27599-0001 2017-05-01
1740636448 Katy Sims Psychiatry & Neurology Unc Psychiatry Residency Program, Cb# 7160, G0204 Neurosciences Hospital, Chapel Hill, NC 27599-0001 2016-05-11
1235585233 Evan Michael Vitiello Psychiatry & Neurology General Psychiatry Residency Training, Cb# 7160, G0204 Neurosciences Hospital, Chapel Hill, NC 27599-7160 2016-05-09
1598139552 Anne Marie Antoinette Riether Psychiatry & Neurology 252 Medical School Wing D, Chapel Hill, NC 27599-7176 2015-11-13
1023497831 Rachel Marie Frische Psychiatry & Neurology Unc Psychiatry Residency, Cb# 7160, 10625 Neurosciences Hospital, Chapel Hill, NC 27599-7160 2015-05-26
1629456652 Douglas Henningsen Psychiatry & Neurology Unc Department of Psychiatry Third Floor, Third Floor, Medical School Wing D Campus Box 7160, Chapel Hill, NC 27599-7160 2015-05-11
1639557945 Michael Kane Psychiatry & Neurology Unc Psychiatry Outpatient Clinic Of, Ground Floor Neurosciences Hospital, Campus Box 7160, Chapel Hill, NC 27599-7160 2015-05-07
1316358237 Takahiro Soda Psychiatry & Neurology 1 St Fl Neurosci, Chapel Hill, NC 27599-0001 2014-05-13
1790196681 William David Scheidler Psychiatry & Neurology Unc Department of Psychiatry 101 Manning Dr, Cb#7160, Chapel Hill, NC 27599-0001 2014-05-13
Find all providers in CHAPEL HILL

Competitor

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City CHAPEL HILL
Zip Code 27517

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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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