DR. FREDERICK JOSEPH PEET JR. (NPI# 1457314106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457314106 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK JOSEPH PEET JR. |
| Credential | D.P.M. |
| Practice Address |
1201 Jefferson St Suite 120 Washington MO 63090-4454 |
| Mailing Address |
1201 Jefferson St Suite 120 Washington MO 63090-4451 |
| Practice Telephone | 6362390202 |
| Practice Fax Number | 6362390217 |
| Mailing Telephone | 6362390202 |
| Mailing Fax Number | 6362390217 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000548 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 107216 | 01 |
| MO | UNITED HEALTH CARE | 2700040 | 01 |
| MO | TRICARE | 431711811001 | 01 |
| MO | HEALTHCARE USA | 18509 | 01 |
| MO | AETNA | 4670200 | 01 |
| MO | BCBS OF MISSOURI | 9774 | 01 |
| Street Address |
1201 JEFFERSON ST SUITE 120 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376667444 | Frederick J Peet Dpm PC | Podiatrist | 1201 Jefferson St, Suite 120, Washington, MO 63090-4454 | 2007-03-16 |
| 1205856572 | Daniel Gerard Walde | Dentist | 1201 Jefferson St, Suite 220, Washington, MO 63090-4454 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346767191 | National Capital Foot and Ankle Center | Podiatrist | 5100 Wisconsin Ave Nw Ste 522, Washington, DC 20016-4131 | 2017-08-23 |
| 1780117051 | Alex Mattia | Podiatrist | 106 Irving St Nw Ste 402, Washington, DC 20010-2989 | 2017-04-04 |
| 1457768749 | Julie E Rosner | Podiatrist | 2150 Pennsylvania Ave Nw # 600, Washington, DC 20037-3201 | 2014-07-18 |
| 1225329873 | Alvin Prince Bannerjee | Podiatrist | 1145 19th St Nw Ste 605, Washington, DC 20036-3731 | 2011-04-29 |
| 1083878433 | James I Jeffery | Podiatrist | 833 S Riveredge Rd, Washington, UT 84780-2018 | 2008-07-15 |
| 1134343726 | James Arvid Marks Sr. | Podiatrist | 204 Wellness Way, Bldg. 1, Washington, PA 15301-9697 | 2007-04-13 |
| 1518926229 | Alan Stiebel | Podiatrist | 64580 Van Dyke Rd, Suite A, Washington, MI 48095-2857 | 2006-03-21 |
| 1730148313 | Brett W Butler | Podiatrist | 64580 Van Dyke Rd Ste A, Washington, MI 48095-2811 | 2006-03-21 |
| 1851858104 | National Capital Foot & Ankle Center | Podiatrist | 5100 Wisconsin Ave Nw Ste 522, Washington, DC 20016-4131 | 2019-02-22 |
| 1407322506 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 114 Avon Ave, Washington, NC 27889-3841 | 2018-10-17 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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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.