DANIEL LEE PETERSON (NPI# 1548578065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548578065 |
| Entity Type | Individual |
| Full Name | DANIEL LEE PETERSON |
| Credential | PA-C |
| Practice Address |
2090 Woodwinds Dr Ste 200 Woodbury MN 55125-2522 |
| Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
| Practice Telephone | 6519685200 |
| Mailing Telephone | 6519685042 |
| Mailing Fax Number | 6519685904 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10811 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
| 1437536786 | Daniel L. Peterson | Podiatrist | 4401 Coors Blvd Sw Ste A, Albuquerque, NM 87121-6460 | 2015-05-06 |
| 1477951291 | Daniel Peterson | Registered Nurse | 2182 Antrim Dr, Davison, MI 48423-8438 | 2014-12-10 |
| 1972630564 | Daniel L Peterson | Internal Medicine | 926 Incline Way, Unit 150, Incline Village, NV 89451-7933 | 2007-02-28 |
| 1780624387 | Daniel P Peterson | Physical Therapist | 12729 E Washington Rd Ste 2, Reese, MI 48757-9722 | 2006-06-08 |
| 1902883846 | Daniel J Peterson | Internal Medicine | 345 E Mount Airy Ave, Philadelphia, PA 19119-1114 | 2005-12-30 |
| 1285626812 | Daniel B Peterson | Family Medicine | 5301 Vernon Ave S, Edina, MN 55436-2303 | 2005-08-19 |
| 1164980447 | Daniel Charles Peterson | Dentist | 1550 30th Ave S, Moorhead, MN 56560-5150 | 2019-03-06 |
| 1124503677 | Daniel Carl Peterson | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-10-01 |
| 1295211878 | Daniel Peterson | Physical Therapist | 8200 Bryan Dairy Rd Ste 150, Largo, FL 33777-1355 | 2018-07-17 |
| Street Address |
2090 WOODWINDS DR STE 200 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043270952 | David Preston Law | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2006-03-24 |
| 1649870296 | Lisa Robin Frank | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2020-10-31 |
| 1649897133 | Claire Elizabeth Johnson | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2020-06-30 |
| 1063057628 | Margaret Faust | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-11-07 |
| 1306404835 | Madison Lee Haus | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-05-30 |
| 1083278436 | Alexi Dee Bopray | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-04-30 |
| 1740844794 | Maren Fiscus | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-04-25 |
| 1235671157 | Sarah A Anderson | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2016-11-09 |
| 1407306004 | Krista M Nauman | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2016-10-06 |
| 1740659341 | Mark Budlong | Physical Therapist | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125 | 2015-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902041536 | James D Fulginiti | Physician Assistant | 603 North Broad Steet, Craig H. Rosen, M.d.,p.a., Woodbury, NJ 08096 | 2008-12-11 |
| 1043270952 | David Preston Law | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2006-03-24 |
| 1720057334 | Mary C Aschenbrener | Physician Assistant | 215 Radio Dr Ste 100, Woodbury, MN 55125-5817 | 2006-03-16 |
| 1063057628 | Margaret Faust | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-11-07 |
| 1306404835 | Madison Lee Haus | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-05-30 |
| 1740844794 | Maren Fiscus | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-04-25 |
| 1962965848 | Molly Michelle Mullee | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2019-04-09 |
| 1013458009 | Abby Mohr | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2017-03-10 |
| 1497135172 | Natasha Harr | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2015-06-08 |
| 1851795827 | Megan Anne Heck | Physician Assistant | 2090 Woodwinds Dr, Woodbury, MN 55125-4925 | 2014-10-20 |
| Find all providers in WOODBURY | ||||
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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.