PETER LOUIS PICO (NPI# 1538300157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538300157 |
| Entity Type | Individual |
| Full Name | PETER LOUIS PICO |
| Credential | M.D. |
| Practice Address |
1973 Sloan Pl Ste 100 Saint Paul MN 55117-2085 |
| Mailing Address |
Po Box 14909 Minneapolis MN 55414-0909 |
| Practice Telephone | 6128711145 |
| Practice Fax Number | 6128705491 |
| Mailing Telephone | 6128711145 |
| Mailing Fax Number | 6128705491 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2014-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
52329 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1973 SLOAN PL STE 100 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55117-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144412503 | Paul R Dambowy | Internal Medicine | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2007-08-09 |
| 1912335092 | Kate Gaffney | Physician Assistant | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2013-10-28 |
| 1528222197 | Holly Lyne Beaulieu | Physician Assistant | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309992 | Katrina Gregor | Social Worker | Po Box 17370 Lot 537, St. Paul, MN 55117 | 2019-04-10 |
| 1083160352 | Miracle Home Health Care, Inc. | Home Health | 55 Lyton Place, Saint Paul, MN 55117 | 2016-08-28 |
| 1871958827 | Roxanne Marie Cruciani | Physical Therapy Assistant | 41 East County Road C, #211, Little Canada, MN 55117 | 2015-12-17 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1235564352 | Jennifer Ann Bertolatus | Counselor | 1585 Rice Street, St. Paul, MN 55117 | 2013-09-09 |
| 1851670400 | Healthy Community Services Agency, Inc | Home Health | 1096 Rice St., St. Paul, MN 55117 | 2011-08-15 |
| 1609184639 | Ondrea Perlman | Advanced Practice Midwife | 91 Viking Drive West, Little Canada, MN 55117 | 2010-09-24 |
| 1710126107 | Have A Heart Home Health Group, LLC | Home Health | 1973 Sloan Place, Suite 70, Maplewood, MN 55117 | 2009-02-09 |
| 1508052424 | Integratiavecare Vadnais Heights LLC | Pharmacy | 5 East County Road B, Suite #2, Little Canada, MN 55117 | 2007-09-25 |
| 1174728257 | Step Therapies, Inc. | Specialist | 75 W Viking Drive, Suite 101, Little Canada, MN 55117 | 2007-06-18 |
| Find all providers in zip 55117 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114269461 | Sachin Mohan | Internal Medicine | 640 Jackson St # Mc11503f, Saint Paul, MN 55101-2502 | 2013-03-25 |
| 1144412503 | Paul R Dambowy | Internal Medicine | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2007-08-09 |
| 1841389780 | Alexander Khoruts | Internal Medicine | 2635 University Ave W Ste 100, Saint Paul, MN 55114-1231 | 2006-10-11 |
| 1154316750 | Dahlia Awais | Internal Medicine | 1973 Sloan Pl, Suite 100, Saint Paul, MN 55117-2180 | 2005-09-20 |
| 1750709986 | Alyssa Marie Anderson | Internal Medicine | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2014-04-04 |
| 1730422122 | Nabiha Sultana Shamsi | Internal Medicine | 435 Phalen Blvd, Ms 51103b, Saint Paul, MN 55130-5302 | 2013-04-03 |
| 1104119551 | Kevin Rank | Internal Medicine | 237 Radio Dr Ste 210, Saint Paul, MN 55125-4478 | 2011-05-18 |
| 1205970258 | Stephen James Rudolph | Internal Medicine | 2550 University Ave W, Suite 423 South, Saint Paul, MN 55114-1052 | 2007-02-15 |
| 1457405946 | Scott Perry Keeley | Internal Medicine | 2550 University Ave W, Suite 423 South, Saint Paul, MN 55114-1052 | 2007-01-22 |
| 1346324506 | David Garett Perdue | Internal Medicine | 2550 University Ave W, Suite 423 South, Saint Paul, MN 55114-1052 | 2006-10-24 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55117 |
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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.