DR. DOUGLAS AHERN PETERS (NPI# 1548413503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548413503 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS AHERN PETERS |
| Credential | MD |
| Practice Address |
255 Glendale Ave. Suite 12 Sparks NV 89431 |
| Mailing Address |
385 Muirfield Dr Pawleys Island SC 29585-6714 |
| Practice Telephone | 7753568181 |
| Mailing Telephone | 7757373360 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2006-00519 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5913808 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437421930 | Douglas Peters | Pharmacist | 1143 Broad St, Sumter, SC 29150-1971 | 2012-01-31 |
| 1568810638 | Douglas Peters | Physician Assistant | 2730 Sw Moody Ave, Cl5pa, Portland, OR 97201-5042 | 2016-05-31 |
| 1780824102 | Douglas J. Peters | Physician Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2009-02-25 |
| 1447452289 | Douglas Richard Peters | Physical Therapist | 4600 38th St, Columbus, NE 68601-1664 | 2007-06-04 |
| 1528134343 | Douglas W Peters | Family Medicine | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2006-11-24 |
| 1174567663 | Douglas Knox Peters | Family Medicine | 6360 W Sam Houston Pkwy N, Ste 200, Houston, TX 77041 | 2006-06-15 |
| Street Address |
255 GLENDALE AVE. SUITE 12 |
| City | SPARKS |
| State | NV |
| Zip Code | 89431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1396919445 | Alan Thompson Wright | Internal Medicine | 1019 Belfast Rd, Sparks, MD 21152-9731 | 2008-04-19 |
| 1942491618 | John M Davis | Internal Medicine | 1752 Golddust Dr, Sparks, NV 89436 | 2007-08-07 |
| 1154496800 | Morton Carl Orman | Internal Medicine | 908 Cold Bottom Rd, Sparks, MD 21152-9509 | 2006-11-21 |
| 1558440016 | James Andrew Craner | Internal Medicine | 1441 Pullman Drive, Sparks, NV 89434 | 2006-11-03 |
| 1588676530 | Mcclintock - Hall, Ltd | Internal Medicine | 2415 Pyramid Way Ste A, Sparks, NV 89431-2195 | 2006-08-11 |
| 1174544787 | Andreia R. Pop | Internal Medicine | 2375 E Prater Way Fl 7, Sparks, NV 89434 | 2006-07-21 |
| 1164493607 | Tim Nguyen | Internal Medicine | 1525 Los Altos Pkwy, Sparks, NV 89436-6692 | 2006-02-01 |
| 1659355410 | Kelly Ann King | Internal Medicine | 1835 Oddie Blvd, Sparks, NV 89431-3559 | 2005-12-05 |
| 1548869381 | Pinnacle Medical Group | Internal Medicine | 5975 S Los Altos Pkwy, Sparks, NV 89436-7699 | 2020-10-22 |
| 1154943249 | Greenstone Nevada LLC | Internal Medicine | 2375 E Prater Way Fl 7, Sparks, NV 89434-9641 | 2020-05-12 |
| Find all providers in SPARKS | ||||
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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.