DR. ERIC YANCEY PETERSON (NPI# 1538111257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538111257 |
| Entity Type | Individual |
| Full Name | DR. ERIC YANCEY PETERSON |
| Credential | M.D. |
| Practice Address |
305 W Country Club Rd Roswell NM 88201-5892 |
| Mailing Address |
Po Box 2608 Roswell NM 88202-2608 |
| Practice Telephone | 5756226322 |
| Practice Fax Number | 5756226888 |
| Mailing Telephone | 5756226322 |
| Mailing Fax Number | 5756226888 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 95-322 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | E9898 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1497250252 | Eric Lee Peterson | Student in an Organized Health Care Education/Training Program | 740 S Limestone Room C301, Lexington, KY 40536-0293 | 2018-03-26 |
| 1396978458 | Eric Warren Peterson | Dentist | 1101 Higrove Pkwy, Suite 105, Leeds, AL 35094-1700 | 2009-08-24 |
| 1689832628 | Eric Peterson | Dentist | 710 N Beaver St Bldg 4, Flagstaff, AZ 86001-3139 | 2008-05-27 |
| 1710955877 | Eric M Peterson | Family Medicine | 1115 S Marshall St, Boone, IA 50036-5304 | 2006-03-14 |
| 1265436059 | Eric Julian Peterson | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2005-06-09 |
| 1194346858 | Eric Dunham Peterson | Social Worker | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2020-05-04 |
| 1215598545 | Eric Peterson | Internal Medicine | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2019-06-26 |
| 1780111682 | Eric Christopher Peterson | Respiratory Therapist, Registered | 2435 Us Highway 19 Ste 300, Holiday, FL 34691-3909 | 2017-05-23 |
| 1376938043 | Eric Peterson | Orthopaedic Surgery | 525 E Market St, Summa Health System/orthopaedic Surgery Residency, Akron, OH 44309 | 2015-03-31 |
| Street Address |
305 W COUNTRY CLUB RD |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049727 | John B Dacanay | Obstetrics & Gynecology | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-05-15 |
| 1700210044 | Ankur Agrawal | Obstetrics & Gynecology | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2013-08-22 |
| 1124265756 | Sarah Petersen Whittington | Advanced Practice Midwife | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2009-01-20 |
| 1023151966 | Rio Pecos Medical Associates Ltd | Clinical Medical Laboratory | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2007-02-14 |
| 1194768051 | Jeanmarie K Salinas | Obstetrics & Gynecology | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-06-14 |
| 1033163076 | Rio Pecos Medical Associates Ltd | Specialist | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-05-22 |
| 1790738912 | Richard Carl Mooney | Obstetrics & Gynecology | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-05-18 |
| 1972556363 | Anthonette Gene Hall | Nurse Practitioner | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-05-18 |
| 1760435119 | Steven Craig North | Obstetrics & Gynecology | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-05-18 |
| 1821040809 | Callie M Dodson | Advanced Practice Midwife | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144508896 | Wellness for The Ageless Woman, Inc | Obstetrics & Gynecology | 4168 Loch Highland Pkwy Ne, Roswell, GA 30075-2026 | 2011-07-29 |
| 1366655151 | Melody T. Mccloud | Obstetrics & Gynecology | Po Box 344, Roswell, GA 30077-0344 | 2007-05-08 |
| 1023137452 | Assertive Ob-gyn, LLC | Obstetrics & Gynecology | 936 Holcomb Bridge Rd, Suite # 2, Roswell, GA 30076-1909 | 2007-03-28 |
| 1700944162 | Garry Earl Siegel | Obstetrics & Gynecology | 10210 Windalier Way, Roswell, GA 30076-2414 | 2006-12-05 |
| 1154491165 | Susan Wheatley | Obstetrics & Gynecology | 1250 Upper Hembree Rd., Suite B, Roswell, GA 30076 | 2006-11-08 |
| 1295828978 | Hughan R.h Frederick | Obstetrics & Gynecology | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2006-10-02 |
| 1821049727 | John B Dacanay | Obstetrics & Gynecology | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-05-15 |
| 1558360131 | Michael L Nowak | Obstetrics & Gynecology | 350 W Country Club Rd, Ste# 203, Roswell, NM 88201-5205 | 2005-07-18 |
| 1508359225 | Allison Bess Perry | Obstetrics & Gynecology | 1300 Upper Hembree Rd Ste D, Roswell, GA 30076-0927 | 2018-06-07 |
| 1346620960 | Urania Davis | Obstetrics & Gynecology | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2015-06-09 |
| Find all providers in ROSWELL | ||||
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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.