JEFFREY J PETERSON (NPI# 1497832513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497832513 |
| Entity Type | Individual |
| Full Name | JEFFREY J PETERSON |
| Credential | MD |
| Practice Address |
345 North Smith Avenue Childrens Hospitals and Clinics of Minnesota Emergency St Paul MN 55102 |
| Mailing Address |
2910 Centre Pointe Drive Childrens Health Care 35 121a Roseville MN 55113 |
| Practice Telephone | 6512206914 |
| Mailing Telephone | 6518552327 |
| Mailing Fax Number | 6518552310 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | 39849 | MN | Allopathic & Osteopathic Physicians |
| X | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
39849 | MN | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | 39849 | MN | Allopathic & Osteopathic Physicians |
| X | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
39849 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205328515 | Jeffrey Michael Peterson | Specialist/Technologist | 15534 Calabria Ct, Bakersfield, CA 93314-8055 | 2018-06-01 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1245630177 | Jeffrey Peterson | Specialist/Technologist | 17735 Xylite St Ne, Ham Lake, MN 55304-4436 | 2014-08-28 |
| 1578889945 | Jeffrey Peterson | Ophthalmology | 615 Piikoi St Ste 205, Honolulu, HI 96814-3139 | 2010-04-10 |
| 1669689949 | Jeffrey Scott Peterson | Orthopaedic Surgery | 3085 Sparta St, Mcminnville, TN 37110-1364 | 2007-05-17 |
| 1689790917 | Jeffrey Hal Peterson | Chiropractor | 8290 E Broadway Blvd, Tucson, AZ 85710-4006 | 2007-03-21 |
| 1417003567 | Jeffrey Peterson | Psychiatry & Neurology | 2911 E Coronado St, Anaheim, CA 92806 | 2007-01-25 |
| 1740214345 | Jeffrey Scott Peterson | Physical Therapist | 204 S Mckean St, Butler, PA 16001-6012 | 2006-07-10 |
| 1598323271 | Jeffrey Steven Peterson | Anesthesiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-05-29 |
| 1669608899 | Jeffrey S Peterson | Social Worker | 625 W Washington Ave, Madison, WI 53703-2637 | 2009-06-02 |
| Street Address |
345 NORTH SMITH AVENUE CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA EMERGENCY |
| City | ST PAUL |
| State | MN |
| Zip Code | 55102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536910 | Leah Nichole Tygum | Audiologist | 345 North Smith Avenue, Childrens Hospitals and Clinics Audiology St Paul, St Paul, MN 55102 | 2006-11-20 |
| 1184797979 | Linda Ellen Murrans | Audiologist | 345 North Smith Avenue, Childrens Hospitals and Clinics Audiology St Paul, St Paul, MN 55102 | 2006-11-17 |
| 1548347651 | Henry W Ortega | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1063599181 | Kellee A Street | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1457438590 | Jeffrey S Schiff | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1295812238 | Marsha L Moreen | Nurse Practitioner | 345 North Smith Avenue, Childrens Hospitals and Clinics Emergency Physicians, St Paul, MN 55102 | 2006-11-01 |
| 1659458693 | Marilyn F Mellor | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals & Clinics of Mn Emerg Phys Stpl, St Paul, MN 55102 | 2006-11-01 |
| 1275610214 | Donna M Milner | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics Emergency Physicians, St Paul, MN 55102 | 2006-11-01 |
| 1700963840 | Eugene W Yates | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1205913258 | Carol L Hargate | Nurse Practitioner | 345 North Smith Avenue, Childrens Hospitals & Clinics of Mn Emerg Phys Stpl, St Paul, MN 55102 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1699066019 | Reginald Anthony Ward | Emergency Medicine | 45 W 10th Street, St Paul, MN 55102-1062 | 2011-04-20 |
| 1942473335 | Heather Ellsworth | Emergency Medicine | 640 Jackson Street, Regions Hospital, St Paul, MN 55101 | 2008-04-08 |
| 1861664153 | Aaron Michael Burnett | Emergency Medicine | 640 Jackson St, Emergency Medicine Box 11102f, St Paul, MN 55101 | 2008-03-27 |
| 1548347651 | Henry W Ortega | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1063599181 | Kellee A Street | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1457438590 | Jeffrey S Schiff | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1659458693 | Marilyn F Mellor | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals & Clinics of Mn Emerg Phys Stpl, St Paul, MN 55102 | 2006-11-01 |
| 1275610214 | Donna M Milner | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics Emergency Physicians, St Paul, MN 55102 | 2006-11-01 |
| 1700963840 | Eugene W Yates | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| 1467539593 | Robert A Sicoli | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
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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.