ALISA GAY PETERSON (NPI# 1609842525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609842525 |
| Entity Type | Individual |
| Full Name | ALISA GAY PETERSON |
| Credential | DO |
| Practice Address |
411 N Belknap St Stephenville TX 76401-3415 |
| Mailing Address |
Po Box 910042 Dallas TX 75391-0042 |
| Practice Telephone | 2549651152 |
| Practice Fax Number | 2549651156 |
| Mailing Telephone | 9727881692 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | L7109 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 161152702 | 05 | |
| TX | RAILROAD MEDICARE | P00322298 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 8F3319 | 01 |
| TX | CHAMPUS | TX6027610 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589219 | Alisa L Peterson | Social Worker | 302 S 10th Ave, Yakima, WA 98902-3521 | 2018-05-22 |
| Street Address |
411 N BELKNAP ST |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285816 | Timothy Zboril | Anesthesiology | 411 N Belknap St, Stephenville, TX 76401-3415 | 2005-06-16 |
| 1740746528 | Lisa Cooper | Nurse Practitioner | 411 N Belknap St, Stephenville, TX 76401-3415 | 2019-02-16 |
| 1043729502 | Bruce Singh | Nurse Practitioner | 411 N Belknap St, Stephenville, TX 76401-3415 | 2017-09-27 |
| 1518313766 | Zachary House | Pharmacist | 411 N Belknap St, Attn: Pharmacy, Stephenville, TX 76401-3415 | 2016-05-06 |
| 1821450784 | James Gabriel | Emergency Medicine | 411 N Belknap St, Stephenville, TX 76401-3415 | 2016-03-22 |
| 1962887943 | Timothy Selway | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401-3415 | 2015-07-20 |
| 1952741795 | Leon Tio | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401 | 2013-06-25 |
| 1992084727 | Chandra Mouli Palla | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401-3415 | 2011-08-10 |
| 1487940482 | Boris Derek Curwen | Emergency Medicine | 411 N Belknap St, Stephenville, TX 76401 | 2011-06-28 |
| 1619297348 | Roberta Lucille Vickery | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401-3415 | 2010-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| 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 |
|---|---|---|---|---|
| 1922074848 | Nicki L Colbert | Internal Medicine | 725 N Graham St, Stephenville, TX 76401-3100 | 2006-02-28 |
| 1962887943 | Timothy Selway | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401-3415 | 2015-07-20 |
| 1952741795 | Leon Tio | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401 | 2013-06-25 |
| 1992084727 | Chandra Mouli Palla | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401-3415 | 2011-08-10 |
| 1619297348 | Roberta Lucille Vickery | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401-3415 | 2010-06-04 |
| 1235398140 | Miranda Nash | Internal Medicine | 150 River North Blvd, Stephenville, TX 76401-1803 | 2008-06-05 |
| 1376599183 | Donald E Benson | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401-3415 | 2006-05-25 |
| 1518937507 | Shahram D Asadi | Internal Medicine | 411 N Belknap St, Stephenville, TX 76401-3415 | 2006-01-24 |
| 1255337119 | Lester Ong | Internal Medicine | 150 River North Blvd, Stephenville, TX 76401-1803 | 2005-06-24 |
| 1023014008 | Jeffrey Moore | Internal Medicine | 150 River North Blvd, Stephenville, TX 76401-1803 | 2005-06-23 |
| Find all providers in STEPHENVILLE | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
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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.