ANTHONY G PETERS (NPI# 1568461747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568461747 |
| Entity Type | Individual |
| Full Name | ANTHONY G PETERS |
| Credential | PA-C |
| Practice Address |
1101 9th St Se Sioux Center IA 51250-2501 |
| Practice Telephone | (712) 722-2609 |
| Practice Fax Number | 7127228426 |
| Mailing Telephone | (712) 722-2609 |
| Mailing Fax Number | 7127228426 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002094 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0484 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | STATE LICENSE NUMBER | 0484 | 01 |
| SD | PREFERRED ONE | AH9141049452 | 01 |
| SD | 6823833 | 05 | |
| SD | BLUE CROSS | 4993250 | 01 |
| DEA REGISTRATION NUMBER | MP0750047 | 01 | |
| IA | IA PHYSICIAN ASSISTANTS LICENSURE | 002094 | 01 |
| SD | DAKOTACARE | 9245667 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265884506 | Anthony Peters | Specialist/Technologist | 1220 Monument Blvd, Apt A10, Concord, CA 94520-4441 | 2016-07-11 |
| 1033117205 | Anthony D Peters | Family Medicine | 1220 E Polston Ave, Post Falls, ID 83854 | 2005-07-12 |
| 1427554773 | Anthony John Peters | Student in an Organized Health Care Education/Training Program | 11750 Bird Rd, Miami, FL 33175-3530 | 2018-04-04 |
| 1528455235 | Anthony E. Peters | Internal Medicine | 2301 Erwin Rd # Dumc3845, Durham, NC 27705-4699 | 2015-04-20 |
| 1508041401 | Anthony Peters | Occupational Therapist | 150 55th St, Lutheran Medical Center-rehabilitation Department, Brooklyn, NY 11220-2559 | 2008-01-09 |
| Street Address |
1101 9TH ST SE |
| City | SIOUX CENTER |
| State | IA |
| Zip Code | 51250-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660203 | Karen E Pennings | Nurse Practitioner | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2005-06-27 |
| 1265057236 | Ashley Marie Anderson | Social Worker | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2020-06-15 |
| 1043854128 | Alexya Van Ginkel | Occupational Therapist | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2019-11-01 |
| 1316437528 | Sioux Center Health | Nurse Practitioner | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2018-05-14 |
| 1427575786 | Hannah Buteyn | Social Worker | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2017-08-28 |
| 1679095897 | Abby Van Zee | Nurse Practitioner | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2017-07-10 |
| 1093247280 | Trent Geleynse | Physical Therapist | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2017-03-28 |
| 1154861953 | Sara Wielenga | Physical Therapist | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2017-02-28 |
| 1649715830 | Sioux Center Health | General Acute Care Hospital | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2016-12-27 |
| 1215326749 | Morgan Meissner | Physician Assistant | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2015-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043718364 | Darlene Pieper | Counselor | 315 First Ave Ne, Sioux Center, IA 51250 | 2018-02-01 |
| 1740620285 | Trevor James Kuiper | Dentist | 1320 S Main Ave, Sioux Center, IA 51250 | 2013-06-28 |
| 1922002989 | Scott Driesen | Optometrist | 318 N Main Ave, Sioux Center, IA 51250-0020 | 2005-06-08 |
| 1770643132 | City of Sioux Center - City Treasurer | Ambulance | 341 North Main, Sioux Center, IA 51250-0313 | 2006-12-08 |
| 1134552995 | Daniel David Hiserote Jr. | Dentist | 1629 1st Ave Sw, Sioux Center, IA 51250-1120 | 2013-08-15 |
| 1952882771 | Caroline Reinders | Physical Therapist | 1685 3rd Ave Se, Sioux Center, IA 51250-1137 | 2018-08-29 |
| 1124054481 | Hy Vee Inc | Pharmacy | 1951 S Main Ave, Sioux Center, IA 51250-1173 | 2006-06-25 |
| 1558996116 | Raelle Christine Van Maanen | Pharmacist | 1951 S Main Ave, Sioux Center, IA 51250-1173 | 2020-03-04 |
| 1841318698 | Susan Lynn Smith | Pharmacist | 1951 S Main Ave, Sioux Center, IA 51250-1173 | 2007-03-27 |
| 1659497139 | Rebecca Beitelspacher | Pharmacist | 1951 S Main Ave, Sioux Center, IA 51250-1173 | 2007-03-22 |
| Find all providers in zip 51250 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215326749 | Morgan Meissner | Physician Assistant | 1101 9th St Se, Sioux Center, IA 51250-2501 | 2015-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
| 1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
| 1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
| 1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX CENTER |
| Zip Code | 51250 |
Please comment or provide details below to improve the information on ANTHONY G PETERS.
| 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.