DR. RICHARD JAMES PETERSON (NPI# 1659383008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659383008 |
Entity Type | Individual |
Full Name | DR. RICHARD JAMES PETERSON |
Credential | MD |
Practice Address |
623 39th St W Suite 2 Bradenton FL 34205-2408 |
Mailing Address |
5304 4th Avenue Cir E Bradenton FL 34208-5624 |
Practice Telephone | 9417442640 |
Practice Fax Number | 9417442650 |
Mailing Telephone | 9417442640 |
Mailing Fax Number | 9417442650 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2014-04-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME58291 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386949659 | Richard Nicholas Peterson | Physician Assistant | 1705 E Hanna Rd, Eloy, AZ 85131-9612 | 2011-01-18 |
1992034110 | Richard Allen Peterson | Pharmacist | 3918 Breckinridge Dr, Okemos, MI 48864-3829 | 2009-12-17 |
1114158706 | Richard Michael Peterson | Chiropractor | 1078 Miramonte Dr, #6, Santa Barbara, CA 93109-1319 | 2009-07-31 |
1508981168 | Richard Stephen Peterson | Marriage & Family Therapist | 1000 S Main St Ste 210b, Salinas, CA 93901-2354 | 2007-03-20 |
1932201985 | Richard Boyd Peterson | Internal Medicine | 424 Division St, Suite 100, South Charleston, WV 25309-1400 | 2006-09-01 |
1639104987 | Richard L Peterson | Chiropractor | 2185 Liberty St Ne, Salem, OR 97301-8353 | 2006-07-12 |
1629075205 | Richard Nils Peterson | Family Medicine | 2130 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6405 | 2005-06-28 |
1457784340 | Richard O Peterson | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2013-08-14 |
1285071993 | Richard Franklin Peterson | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-06-04 |
1720246036 | Richard Peterson | Physical Therapist | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2008-05-23 |
Street Address |
623 39TH ST W SUITE 2 |
City | BRADENTON |
State | FL |
Zip Code | 34205-2408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
Find all providers in zip 34205 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154327393 | John C Brock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2005-06-22 |
1245421247 | Ronald Smith Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2007-08-05 |
1982804761 | Joseph P Alesnik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2007-07-20 |
1710921770 | Alessandro Golino | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2006-06-16 |
1083651913 | Bradenton Cardiac Surgeons, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 300 Riverside Dr E, Suite# 2600, Bradenton, FL 34208-1008 | 2006-05-31 |
1922053115 | Riverview Cardiac Surgery P A | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5304 4th Avenue Cir E, Bradenton, FL 34208-5624 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765898 | Leonardo Andrade Mulinari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 | 2020-09-21 |
1093344376 | Jupiter Medical Center Physicians Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1002 S Old Dixie Hwy Ste 101, Jupiter, FL 33458-7202 | 2020-04-07 |
1720581937 | John J Dunning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 | 2018-03-14 |
1871020545 | Nicholas James Sears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 | 2017-05-12 |
1124410857 | Miami Vein Clinics Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8549 Coral Way, Miami, FL 33155-2335 | 2015-03-04 |
1861884595 | Usa Vascular Centers of Miami Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1711 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621 | 2015-03-04 |
1568861995 | Modesto Peralta Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 423 W Fenway Dr, Hernando, FL 34442-5144 | 2014-08-21 |
1477982197 | Paul Kurlansky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2755 N Bay Rd, Miami Beach, FL 33140-4264 | 2013-11-04 |
1184063521 | Walter Smithwick IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 | 2013-06-19 |
1023451937 | Leonard R. Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Crandon Blvd, F-701, Key Biscayne, FL 33149-2755 | 2013-04-10 |
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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.