BLAKE PETERSON


Address: 8130 Hawthorn, Temple, TX 76502
Phone: 4803388552

BLAKE PETERSON (NPI# 1689027054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689027054
Entity Type Individual
Full Name BLAKE PETERSON
Credential DPM
Practice Address 8130 Hawthorn
Temple
TX 76502
Mailing Address Po Box 26559
Prescott Valley
AZ 86312-6559
Practice Telephone 4803388552
Mailing Telephone 9284454898
Enumeration Date 2016-07-20
Last Update Date 2019-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213E00000X Podiatrist T60-2016 TX Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
000930 AZ Podiatric Medicine & Surgery Service Providers

Other Providers BLAKE PETERSON

NPI Name Taxonomy Address Enumeration
1942200159 Blake Allen Peterson Optometrist 2020 Keith St Nw, Cleveland, TN 37311-1351 2005-07-29
1962965855 Blake Peterson Chiropractor 1878 W 3600 S, West Valley City, UT 84119-3893 2019-04-09
1821506601 Blake Richard Peterson Massage Therapist 3536 Grove Ave, Richmond, VA 23221-2200 2018-01-16
1043561343 Blake T Peterson Nurse Anesthetist, Certified Registered 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 2012-09-26
1023379849 Blake Peterson Orthopaedic Surgery 2445 Army Navy Dr, Arlington, VA 22206-2905 2012-06-07

Office Location

Street Address 8130 HAWTHORN
City TEMPLE
State TX
Zip Code 76502

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033710850 Bih Mobanoe Chi Pharmacist 6801 West Adams Avenue, Temple, TX 76502 2020-11-06
1639705403 Robert David Pompella Chiropractor 4805 Stone Ridge Dr, Temple, TX 76502 2020-03-12
1275167488 Luong Dental, LLC Dentist 5297 S. 31st Street, Ste 111, Temple, TX 76502 2020-02-26
1093357931 Ryan T Stephens Dmd Pllc Dentist 5408 W. Adams Suite 102, Temple, TX 76502 2019-10-11
1164071817 Danyelle Denise Pividori Licensed Vocational Nurse 992 Marlandwood Rd, Temple, TX 76502 2019-09-05
1831670652 Jane Lida Jarosz Registered Nurse 99 Marlandwood, Temple, TX 76502 2018-08-29
1043791809 Elsa Gamban Baker Licensed Practical Nurse 5711 Hopkins Dr, Temple, TX 76502 2018-08-28
1659859288 Laura Bright Licensed Vocational Nurse 990 Marlanwood, Temple, TX 76502 2018-08-06
1811489974 Rockdale Blackhawk, LLC Clinic/Center 1909 Sw Hk Dodgen Loop, Temple, TX 76502 2018-06-05
1871094573 Moc Temple, LLC Skilled Nursing Facility 725 Marlandwood Rd., Temple, TX 76502 2018-02-27
Find all providers in zip 76502

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134658453 Lily Raga Podiatrist 2601 Thornton Ln Ste 200, Temple, TX 76502-1808 2017-06-08
1295186856 John Andrew Yuhas Podiatrist 2601 Thornton Ln Ste 2601, Temple, TX 76502-1808 2016-06-24
1255338992 Christopher Glenn Browning Podiatrist 2601 Thornton Ln, Temple, TX 76502-1808 2005-07-07
1699126961 Himani Patel Podiatrist 2401 S 31st St, Temple, TX 76508-0001 2016-06-28
1992188452 Evangelos Kyprios Podiatrist 2601 Thornton Ln, 200, Temple, TX 76502-1808 2015-07-01
1710392279 Lanster Rusk Martin Podiatrist 2601 Thornton Ln, Temple, TX 76502-1808 2014-06-24
1194130880 Jonathan Lorenzana Podiatrist 2601 Thornton Ln, Temple, TX 76502-1808 2014-06-22
1598053910 Rebecca Suzan Smith Podiatrist 2601 Thornton Ln, Attn: Rebecca Smith, Dept of Podiatry, Temple, TX 76502-1808 2011-07-19
1598081259 Muhlenberg Family Footcare Ltd Podiatrist 4148 Kutztown Rd, Temple, PA 19560-1900 2010-04-20
1053570317 John A Brust Podiatrist 2401 S 31st St, Temple, TX 76508-0001 2008-06-03
Find all providers in TEMPLE

Competitor

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City TEMPLE
Zip Code 76502

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Dataset Information

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.

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