CRAIG PETERSON (NPI# 1649436452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649436452 |
| Entity Type | Individual |
| Full Name | CRAIG PETERSON |
| Credential | D.C. |
| Practice Address |
613 S Bluff Street, Twr 1 Suite 400 St George UT 84770-3853 |
| Mailing Address |
613 S Bluff Street Twr 1 Suite 400 St George UT 84770-3853 |
| Practice Telephone | 4356560234 |
| Practice Fax Number | 4356562622 |
| Mailing Telephone | 4356560234 |
| Mailing Fax Number | 4356562622 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6960863-1202 | UT | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588698641 | Craig Stuart Peterson | Psychologist | 410 Arden Ave, Suite 201, Glendale, CA 91203-4006 | 2006-07-11 |
| 1619923844 | Craig Raymond Peterson | Internal Medicine | 19725 South Greeno Road, Fairhope, AL 36532-3843 | 2006-05-26 |
| 1598739054 | Craig Arthur Peterson | Urology | 1550 B East Niagara Rd, Montrose, CO 81401-5027 | 2006-02-13 |
| 1114412228 | Craig Alan Peterson | Registered Nurse | 515 22nd Ave, Monroe, WI 53566-1569 | 2018-06-30 |
| 1437644903 | Craig Peterson | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-27 |
| 1740650076 | Craig Peterson | Acupuncturist | 1570 N 115th St, Seattle, WA 98133-8401 | 2015-09-29 |
| 1467715474 | Craig A. Peterson | Dentist | 6226 14th Ave, Kenosha, WI 53143-4413 | 2012-06-25 |
| 1932421500 | Craig Neil Peterson | Pharmacist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-02-23 |
| 1922128404 | Craig Albert Peterson | Dentist | 1504 4th St Ne, Waseca, MN 56093 | 2007-03-30 |
| 1396888640 | Craig A Peterson | Ophthalmology | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-15 |
| Street Address |
613 S BLUFF STREET, TWR 1 SUITE 400 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262430 | Crux Sport & Spine | Chiropractor | 922 E Brigham Rd Bldg 5c, St George, UT 84790-8751 | 2020-10-13 |
| 1043831225 | Matthew Vradenburg | Chiropractor | 229 E Saint George Blvd Ste 105, St George, UT 84770-7902 | 2020-04-29 |
| 1477193753 | Jonathan Paxman Martin | Chiropractor | 619 S Bluff St Ste 100, St George, UT 84770-1232 | 2020-01-14 |
| 1831626993 | Summit Chiropractic LLC | Chiropractor | 321 N Mall Dr Unit H102, St George, UT 84790-7341 | 2017-05-18 |
| 1235502824 | Shane Preece | Chiropractor | 169 W 2710 South Cir Ste 204, St George, UT 84790-7201 | 2015-11-05 |
| 1730563867 | Telios PC | Chiropractor | 63 S 300 E Ste 101, St George, UT 84770-2948 | 2015-07-18 |
| 1073997979 | Clinica Chiropractic | Chiropractor | 1397 W Sunset Blvd Ste 109, St George, UT 84770-4212 | 2015-07-10 |
| 1316332950 | Scott Graf | Chiropractor | 676 S Bluff St Ste 208, St George, UT 84770-3568 | 2015-03-31 |
| 1548673981 | Richard King | Chiropractor | 594 W 400 N, St George, UT 84770-4511 | 2014-06-03 |
| 1851711949 | Core Chiropractic, LLC | Chiropractor | 558 E Riverside Dr Ste 101, St George, UT 84790-7136 | 2014-04-16 |
| Find all providers in ST GEORGE | ||||
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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.