DR. ELIZABETH JOANNE PETERSON (NPI# 1619135860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619135860 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH JOANNE PETERSON |
| Other Name | ELIZABETH JOANNE WHEATLEY |
| Credential | MD |
| Practice Address |
911 Northland Dr. Princeton MN 55371-1737 |
| Mailing Address |
911 Northland Dr Princeton MN 55371 |
| Practice Telephone | 7633891313 |
| Mailing Telephone | 7633891313 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 53675 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528536323 | Elizabeth Peterson | Speech-Language Pathologist | 1429 Decatur Dr, Charlottesville, VA 22911-7499 | 2018-11-09 |
| 1538576640 | Elizabeth Peterson | Developmental Therapist | 2904 N 32nd Rd, Seneca, IL 61360-9780 | 2014-07-21 |
| 1386955680 | Elizabeth Kay Peterson | Psychologist | 10375 E Harvard Ave, Suite 425, Denver, CO 80231-5939 | 2010-07-01 |
| 1003060385 | Elizabeth Frances Peterson | Speech-Language Pathologist | 22344 E Kenyon Pl, Aurora, CO 80018-4557 | 2008-11-12 |
| 1922267277 | Elizabeth Winslow Peterson | Occupational Therapist | 13 Tupper Rd, Sandwich, MA 02563-1810 | 2008-06-03 |
| 1942339106 | Elizabeth Sorrells Peterson | Pediatrics | 7311 W 132nd St, Suite 190, Overland Park, KS 66213-1118 | 2007-03-05 |
| 1497823215 | Elizabeth Harris Peterson | Counselor | 5845 Caspiana Ln, Bossier City, LA 71112-9601 | 2006-12-01 |
| 1144327560 | Elizabeth Peterson | Social Worker | 2647 Michigan Ave, Kissimmee, FL 34744-1936 | 2006-09-20 |
| 1417958026 | Elizabeth Michael Peterson | Pediatrics | 109 Warren St, Suite 4, Beaver Dam, WI 53916-3082 | 2005-08-04 |
| 1184274300 | Elizabeth Peterson | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-09-19 |
| Street Address |
911 NORTHLAND DR. |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612587 | Joan M Markison | Family Medicine | 22 Morven Pl, Princeton, NJ 08540-3024 | 2019-07-29 |
| 1619531142 | Christina Sheil | Family Medicine | 101 Carnegie Ctr Ste 101, Princeton, NJ 08540-6231 | 2019-04-30 |
| 1174874200 | Alegis Care - New Jersey PC | Family Medicine | 103 Carnegie Ctr Ste 308, Princeton, NJ 08540-6235 | 2012-09-28 |
| 1548557341 | Nicholas Samuel Muscari | Family Medicine | 324 Oakvale Rd Ste 12, Princeton, WV 24740-3829 | 2011-06-30 |
| 1396041844 | The Other Way | Family Medicine | 923 Cherry Hill Rd, Princeton, NJ 08540-7711 | 2011-02-01 |
| 1699082974 | Melissa Ann Hurst | Family Medicine | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2010-09-08 |
| 1023279197 | Mark Leenay | Family Medicine | 6940 338th Ln Nw, Princeton, MN 55371-5007 | 2008-06-22 |
| 1346444106 | Brian Zack | Family Medicine | 14 Hageman Ln, Princeton, NJ 08540-7547 | 2007-06-13 |
| 1952444234 | Jana Michelle Peters | Family Medicine | 365 Courthouse Road, Princeton, WV 24740 | 2007-02-15 |
| 1770647976 | John C Seed | Family Medicine | 33 Witherspoon St, Princeton, NJ 08542-3207 | 2006-12-21 |
| Find all providers in PRINCETON | ||||
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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.