DR. JONATHAN RICHARD PETERSON (NPI# 1457705386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457705386 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN RICHARD PETERSON |
| Credential | M.D. |
| Practice Address |
2301 Erwin Rd Durham NC 27710 |
| Mailing Address |
Dumc Box 3000 Durham NC 27710 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196843170 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2019-00197 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093948614 | Jonathan Ryan Peterson | Dentist | 800 W Chandler Blvd Ste 1, Chandler, AZ 85225-2508 | 2009-08-30 |
| 1013129857 | Jonathan J Peterson | Chiropractor | 3076 E. Chandler Heights Rd., Suite 107, Gilbert, AZ 85298 | 2007-05-04 |
| 1659450005 | Jonathan Bernt Peterson | Family Medicine | 8500 W Colfax Ave, Lakewood, CO 80215-4011 | 2006-11-06 |
| 1124641071 | Jonathan Peterson | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2020-05-27 |
| 1609360247 | Jonathan C Peterson | Behavior Technician | 9500 Annapolis Rd Ste B2, Lanham, MD 20706-2062 | 2018-06-18 |
| 1245491182 | Jonathan Bradley Peterson | Orthopaedic Surgery | 1836 South Ave, La Crosse, WI 54601 | 2008-06-23 |
| 1053535930 | Jonathan Paul Peterson | Pediatrics | 15 S 1000 E, Suite 200, Payson, UT 84651-5590 | 2007-04-12 |
| 1003882010 | Jonathan Peterson | Psychiatry & Neurology | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2006-02-28 |
| Street Address |
2301 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
| 1669073854 | Courtney Whitmore Jensen | Genetic Counselor, MS | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-04 |
| 1114528429 | Nicholas Tricarico | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-03 |
| 1164021788 | Wen Chian Ouyang | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-23 |
| 1447857529 | Christopher O'neal Fry | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-02 |
| 1932706140 | Ariane Cook | Physician Assistant | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-01 |
| 1801403795 | Shannon Marie Vannasane | Anesthesiology | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-25 |
| 1396352233 | Olivia Delpizzo | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-24 |
| 1619583051 | Colin Sauter | Physical Therapist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-21 |
| 1962017111 | Anna Bueton | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437546934 | Hari Shankar Mitra | Orthopaedic Surgery | 40 Duke Medicine Cir # 1b1c, Durham, NC 27710-3761 | 2015-04-22 |
| 1275945297 | Jay Paul Willhite | Orthopaedic Surgery | 1905 Childrens Health Ctr Department of Radiology, Durham, NC 27710 | 2014-05-26 |
| 1912263880 | Daniel Mangiapani | Orthopaedic Surgery | 2227 Meade Ln, Durham, NC 27707-2964 | 2012-04-05 |
| 1730356056 | Melissa Maria Erickson | Orthopaedic Surgery | 30 Duke Medicine Cir, Durham, NC 27710-3000 | 2008-05-15 |
| 1134203029 | James Messersmith | Orthopaedic Surgery | 3609 Watkins Rd, Durham, NC 27707-3355 | 2006-10-25 |
| 1548357064 | Robert D Zura | Orthopaedic Surgery | Dumc 3205, Durham, NC 27710-0001 | 2006-10-06 |
| 1740371012 | Richard D. Goldner | Orthopaedic Surgery | 3480 Duke Medical Ctr, Durham, NC 27710-0001 | 2006-09-28 |
| 1225077415 | Kyle E Black | Orthopaedic Surgery | 5616 Denwood Ln, Durham, NC 27705-9252 | 2006-06-05 |
| 1962463125 | Thomas Craig Derian | Orthopaedic Surgery | 4206 N Roxboro Street, Suite 120, Durham, NC 27704-1868 | 2006-03-29 |
| 1447226402 | Russell R. Zelko | Orthopaedic Surgery | 4220 Apex Hwy, Suite 200, Durham, NC 27713 | 2006-02-28 |
| Find all providers in DURHAM | ||||
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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.