DR. DONALD THORGEIR PETERSON (NPI# 1649206558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649206558 |
| Entity Type | Individual |
| Full Name | DR. DONALD THORGEIR PETERSON |
| Credential | DPM |
| Practice Address |
8029 Jericho Tpke Woodbury NY 11797-1212 |
| Practice Telephone | 5164960900 |
| Practice Fax Number | 5164960901 |
| Mailing Telephone | 5164960900 |
| Mailing Fax Number | 5164960901 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N4585 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 013496283 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134931 | Donald P Peterson | Dentist | 11855 Holly Ln, Suite #103, Waldorf, MD 20601-3114 | 2007-04-20 |
| 1609935097 | Donald Joseph Peterson | Dentist | 1579 Hamline Ave N, Falcon Heights, MN 55108-2107 | 2006-12-08 |
| 1700809878 | Donald R Peterson II | Surgery | 4219 Buchanan Dr, Fair Oaks, CA 95628-6105 | 2006-07-26 |
| 1780678193 | Donald Peterson | Physical Therapist | 1503 Washington Ln, Augusta, KS 67010-1638 | 2005-08-31 |
| 1215939137 | Donald Leon Peterson | Optometrist | 813 Sw Highland Ave, Redmond, OR 97756-3123 | 2005-08-11 |
| 1396743548 | Donald Douglas Peterson | Urology | 408 8th St, 1st Floor, North Wilkesboro, NC 28659-4167 | 2005-07-12 |
| 1104821362 | Donald Albert Peterson | Chiropractor | 835 Highway 105, Suite A, Palmer Lake, CO 80133-9069 | 2005-06-15 |
| 1235282674 | Donald G Peterson | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3538 | 2007-01-19 |
| 1821159864 | Donald L. Peterson Jr. | Family Medicine | 151 Meadowcrest St, Suite C, Gretna, LA 70056-5256 | 2006-12-13 |
| 1164594537 | Donald Carl Peterson | Chiropractor | 2516 7th Ave E, Saint Paul, MN 55109-3003 | 2006-11-14 |
| Street Address |
8029 JERICHO TPKE |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376845669 | D T Peterson Dpm PC | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797-1212 | 2010-11-19 |
| 1437322633 | D.t. Peterson, Dpm, PC | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797-1212 | 2008-04-08 |
| 1295877116 | Owen Mccrudden Dpm, PC | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797 | 2007-02-14 |
| 1285641886 | Owen James Mccrudden | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700988284 | Brian K Gotchel | Podiatrist | 636 Kings Hwy Ste A, Woodbury, NJ 08096-3145 | 2006-09-04 |
| 1770522344 | Gary Richard Blank | Podiatrist | 41 Juneau Blvd, Woodbury, NY 11797-2615 | 2006-06-06 |
| 1376845669 | D T Peterson Dpm PC | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797-1212 | 2010-11-19 |
| 1437322633 | D.t. Peterson, Dpm, PC | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797-1212 | 2008-04-08 |
| 1285641886 | Owen James Mccrudden | Podiatrist | 8029 Jericho Tpke, Woodbury, NY 11797 | 2006-08-03 |
| 1730115833 | Stephanie Exley | Podiatrist | 649 N Broad St, Woodbury, NJ 08096-1621 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159756 | West Side Foot Group, L.l.p. | Podiatrist | 244 W 54th St Fl 10, New York, NY 10019-5597 | 2020-09-21 |
| 1740815836 | Ernest L Isaacson Dpm PC | Podiatrist | 4 Technology Dr Ste 110, East Setauket, NY 11733-4068 | 2020-03-09 |
| 1619502242 | Westhampton Beach Podiatry P.C. | Podiatrist | 70 C Old Riverhead Road, Westhampton Beach, NY 11978 | 2020-03-04 |
| 1568025641 | Afsana Qader, Dpm P.c | Podiatrist | 182 Martine Ave, White Plains, NY 10601-3305 | 2019-04-15 |
| 1396233664 | Dr. Mariola Rivera Podiatry, Pllc | Podiatrist | 10 Mitchell Pl Ste 105, White Plains, NY 10601-4300 | 2018-04-23 |
| 1457856403 | Bgy Podiatry PC | Podiatrist | 9810 64th Ave Apt Gb, Rego Park, NY 11374-2501 | 2018-03-29 |
| 1184135568 | Active Podiatry Pllc | Podiatrist | 149 Marine Ave Apt La, Brooklyn, NY 11209-7712 | 2017-10-12 |
| 1730623869 | Westside Podiatry Group | Podiatrist | 507 Beahan Rd, Rochester, NY 14624-3403 | 2016-12-08 |
| 1386191203 | Comprehensive Podiatric Foot Care Pllc | Podiatrist | 88-34 161th Street, Jamaica, NY 11432-4040 | 2016-09-08 |
| 1104277185 | Zhi Q Huang | Podiatrist | 2130 E 24th St, First Floor, Brooklyn, NY 11229-4902 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
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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.