MR. LANCE DAMON PETERSON (NPI# 1659552610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659552610 |
| Entity Type | Individual |
| Full Name | MR. LANCE DAMON PETERSON |
| Credential | PHYSICIAN ASSISSTANT |
| Practice Address |
150 York St Stoughton MA 02072-1829 |
| Mailing Address |
50 Victoria Rd Quincy MA 02169-2433 |
| Practice Telephone | 3392372629 |
| Mailing Telephone | 6173288999 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA291 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205047057 | Lance Taylor Peterson | Social Worker | 1551 Commodore Rd, Lyndhurst, OH 44124-2825 | 2007-05-24 |
| 1447267984 | Lance R Peterson | Physical Therapist | 923 State Route 46, Columbiana, OH 44408 | 2006-08-01 |
| 1528552510 | Lance William Peterson | Pediatrics | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1295776359 | Lance R Peterson | Pathology | 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 | 2006-06-09 |
| Street Address |
150 YORK ST |
| City | STOUGHTON |
| State | MA |
| Zip Code | 02072-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386610756 | Stephen Walter Noyes | Physician Assistant | 150 York St, Stoughton, MA 02072-1829 | 2006-02-27 |
| 1295364412 | Stella Cazales | Respiratory Therapist, Registered | 150 York St, Stoughton, MA 02072-1829 | 2020-04-08 |
| 1639708613 | Mackenzie Macuch | Occupational Therapist | 150 York St, Stoughton, MA 02072-1829 | 2020-04-02 |
| 1730715996 | Haylee Nugent | Physical Therapist | 150 York St, Stoughton, MA 02072-1881 | 2020-03-19 |
| 1124677828 | Susan Espo Greenfield | Speech-Language Pathologist | 150 York St, Stoughton, MA 02072 | 2019-09-05 |
| 1790274496 | Christina Marie Bragan | Social Worker | 150 York St, Stoughton, MA 02072-1829 | 2018-05-08 |
| 1861994329 | New England Sinai Hospital, A Steward Family Hospital, Inc. | Skilled Nursing Facility | 150 York St, Stoughton, MA 02072-1829 | 2018-03-01 |
| 1629527130 | Gale Mccall | Physical Therapist | 150 York St, Stoughton, MA 02072-1829 | 2016-09-26 |
| 1245784446 | Sound Physicians of Massachusetts, Inc | Family Medicine | 150 York St, Stoughton, MA 02072-1829 | 2016-08-05 |
| 1689062002 | Hazel Mosote | Registered Nurse | 150 York St, Stoughton, MA 02072-1829 | 2015-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543077 | Rachael E. Wilcox-rolniak | Counselor | Renz Counseling 378 Page St, Suite 6, Stoughton, MA 02072 | 2019-01-31 |
| 1134601487 | Patricia Eichinger | Social Worker | Saint Anne's Gpu At New England Sinai Hospital, 150 York Street, Stoughton, MA 02072 | 2018-09-04 |
| 1649752080 | Anne Marguerite Shute | Social Worker | 171 Ash St., Stoughton, MA 02072 | 2018-09-02 |
| 1558849646 | Janet A. Wiederhold | Social Worker | 32 Conservation Way, Stooghton, MA 02072 | 2018-08-01 |
| 1497284624 | Tatiana T Rudd | Counselor | 11 Monk Street R1, Stoughton, MA 02072 | 2017-06-10 |
| 1447782461 | Childrens Dental Health Center PC | Dentist | 966c Park Street, Stoughton, MA 02072 | 2017-03-29 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1679020259 | Youssef Wahba | Pharmacist | 638 Washigton St, Stoughton, MA 02072 | 2016-09-01 |
| 1346601093 | Allstate Home Care,inc | Foster Care Agency | 5 Cabot Place., #1, Stoughton, MA 02072 | 2016-03-09 |
| 1386032167 | Tara L Traczyk | Registered Nurse | 907 Summer St. Suite M201, Guardian Anesthesia Inc, Stoughton, MA 02072 | 2015-01-02 |
| Find all providers in zip 02072 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123840 | Ryan Chin | Physician Assistant | 20 Stephanie Dr, Stoughton, MA 02072-3458 | 2020-08-05 |
| 1821593062 | Megan Macomber | Physician Assistant | 33 Whitten Ave, Stoughton, MA 02072-3198 | 2018-03-29 |
| 1295115889 | Tracy Callahan | Physician Assistant | 286 Washington St, Stoughton, MA 02072-1763 | 2015-06-09 |
| 1710152020 | Heather Lynn Kluck | Physician Assistant | 1001 Nygaard St, Stoughton, WI 53589-5495 | 2008-04-28 |
| 1497967798 | Shelagh Macropoulos | Physician Assistant | 150 York St, Stoughton, MA 02072-1829 | 2007-05-07 |
| 1043437957 | Stacy Hamel Cannell | Physician Assistant | 150 York St, Stoughton, MA 02072-1829 | 2007-04-20 |
| 1760430078 | Karen Sorenson-lavalley | Physician Assistant | 225 Church St, Dean Medical Center, Stoughton, WI 53589-1801 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
| 1841898384 | Chloe Friedman | Physician Assistant | 62 Patricia Dr, Abington, MA 02351-1081 | 2020-10-16 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1700484656 | Emily Cioffi | Physician Assistant | 5 Cosma Rd, North Easton, MA 02356-1331 | 2020-10-13 |
| 1407453806 | Emily Louis | Physician Assistant | 174 Groton Rd, North Chelmsford, MA 01863-1205 | 2020-10-08 |
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1073110433 | Ellen Boyle | Physician Assistant | 11 Castle Gate Rd, Wayland, MA 01778-4310 | 2020-10-07 |
| 1992302897 | Marissa Pond | Physician Assistant | 95 Concord St, Haverhill, MA 01830-2809 | 2020-10-04 |
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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.