PETER A SANDERSON (NPI# 1689721979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689721979 |
| Entity Type | Individual |
| Full Name | PETER A SANDERSON |
| Credential | MD |
| Practice Address |
2501 Main Street Stevens Point WI 54481 |
| Mailing Address |
900 Illinois Avenue Stevens Point WI 54481 |
| Practice Telephone | 7153465000 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2011-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23861 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30513500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932469228 | Peter J Sanderson | Marriage & Family Therapist | 2101 4th Ave E, Suite 200, Olympia, WA 98506-6512 | 2012-05-21 |
| Street Address |
2501 MAIN STREET |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861714669 | Donald David Johnson | Family Medicine | 2878 Maple Ridge Rd, Stevens Point, WI 54481-9504 | 2010-02-20 |
| 1922037100 | Dean R Hagness | Family Medicine | 3301 Stanley Street, Stevens Point, WI 54481-3112 | 2006-07-01 |
| 1629015334 | Xa X Xiong | Family Medicine | 3500 Hoover Rd, Stevens Point, WI 54481-5600 | 2006-06-01 |
| 1750896015 | Aspirus Stevens Point Clinic | Family Medicine | 5409 Vern Holmes Dr, Stevens Point, WI 54482-8853 | 2017-12-08 |
| 1184082745 | Ascension St Michael's Hospital, Inc | Family Medicine | 3500 Hoover Rd, Stevens Point, WI 54481-5600 | 2016-02-10 |
| 1609281567 | Shayna Shackford | Family Medicine | 824 Illinois Ave, Stevens Point, WI 54481 | 2014-06-30 |
| 1427480516 | Sher Vang | Family Medicine | 4100 State Highway 66, Stevens Point, WI 54482-8410 | 2013-07-31 |
| 1275886749 | Aspirus Wausau Hospital, Inc. | Family Medicine | 5409 Vern Holmes Dr, Stevens Point, WI 54482-8853 | 2012-10-22 |
| 1427340090 | Kevin K Thao | Family Medicine | 3500 Hoover Rd, Stevens Point, WI 54481-5600 | 2011-05-13 |
| 1073824470 | Sumeet Kumar Goel | Family Medicine | 4100 State Highway 66, Stevens Point, WI 54482 | 2010-06-30 |
| Find all providers in STEVENS POINT | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
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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.