WILLIAM JON PORTER PETERSON (NPI# 1467863043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467863043 |
| Entity Type | Individual |
| Full Name | WILLIAM JON PORTER PETERSON |
| Credential | M.D. |
| Practice Address |
1500 East Medical Center Dr B1 Floor University Hospital Recp Emergency Ann Arbor MI 48109-5301 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349366666 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301105093 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669643664 | William Richard Peterson | Hearing Instrument Specialist | 5000 Nations Crossing Rd, Suite 205, Charlotte, NC 28217-1876 | 2008-03-18 |
| 1649373010 | William Roger Peterson | Dentist | 1730 Holloway Rd, Holland, OH 43528-8547 | 2006-09-07 |
| 1093734865 | William J. Peterson | Dentist | 275 N Main St, Box 378, Valentine, NE 69201-1840 | 2006-07-19 |
| 1841236072 | William James Peterson | Emergency Medicine | Vacavalley Hospital, 1000 Nut Tree Road, Vacaville, CA 95687 | 2006-06-22 |
| 1568997310 | William B Peterson | Physical Therapist | 777 N York Rd Ste 11, Hinsdale, IL 60521 | 2017-04-28 |
| 1164765160 | William Scott Peterson | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2013-03-28 |
| 1285973107 | William Winston Leonard Peterson IIi | Chiropractor | 1700 Se Hillmoor Dr, Ste 502, Port St Lucie, FL 34952-7566 | 2013-02-13 |
| 1225341811 | William Trent Peterson | Family Medicine | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2010-07-23 |
| 1235366733 | William Michael Peterson II | Radiology | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2009-06-11 |
| 1578799375 | William David Peterson | Dentist | 2811 E Court St, Suite I, Flint, MI 48506-4054 | 2009-06-08 |
| Street Address |
1500 EAST MEDICAL CENTER DR B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417731 | Daniel William Berland | Internal Medicine | 1500 East Medical Center Dr, 3rd Floor Taubman Ctr Recp B, Ann Arbor, MI 48109-5352 | 2005-06-17 |
| 1770105405 | Emily Ager | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Dr, B1-380 Taubman Center, Ann Arbor, MI 48109-5305 | 2020-05-15 |
| 1922668987 | Matthew James Wolf | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-20 |
| 1235799644 | Helen Elizabeth Mulcahy | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-18 |
| 1679133490 | Alexander Charles Waselewski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1043870868 | Danielle Rose Vanbeckum | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1881254621 | Megan Kathryn Zakerski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1104484625 | Alicia Isabelle Rolin | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1417515933 | Kristen Elizabeth Unsicker | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1760040273 | Katie Christine Ramos | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405103 | Epmg Southwest Michigan Pllc | Emergency Medicine | 5301 E Huron River Rd, Ann Arbor, MI 48106 | 2019-03-11 |
| 1477044279 | Max Griffith | Emergency Medicine | 1500 E Medical Center Dr Tcb1380, Ann Arbor, MI 48109 | 2018-05-29 |
| 1861841926 | Joseph Hamera | Emergency Medicine | 1500 E Medical Center Dr Spc 5360, Ann Arbor, MI 48109-5360 | 2016-06-09 |
| 1922493220 | Farshid Bozorgnia | Emergency Medicine | 1412 Bicentennial Pkwy, Ann Arbor, MI 48108-7918 | 2015-04-02 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| 1760820153 | Michael Thomas Cover | Emergency Medicine | 1500 E, Medical Center Drive, B1 Floor University Hospital Recp Er, Ann Arbor, MI 48109-5301 | 2013-06-07 |
| 1447696968 | James Bernard Grotberg | Emergency Medicine | 3535 Green Ct, Ann Arbor, MI 48105-1579 | 2013-05-13 |
| 1467773929 | Sarah E Tomlinson | Emergency Medicine | 1500 East Medical Center Drive Floor 2, Cs Motts Children's Emergency Medicine, Ann Arbor, MI 48109-4205 | 2010-06-18 |
| 1083944706 | Jane Maginnis Bloom | Emergency Medicine | 537 Elm Street, Ann Arbor, MI 48104-2515 | 2009-12-31 |
| 1952552994 | Robert E Servis | Emergency Medicine | 4420 Varsity Dr, Ann Arbor, MI 48108-2233 | 2008-10-08 |
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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.