MICHAEL L PETERSON (NPI# 1699882514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699882514 |
| Entity Type | Individual |
| Full Name | MICHAEL L PETERSON |
| Credential | D.C. |
| Practice Address |
6808 S Memorial Dr Ste 100 Tulsa OK 74133-2066 |
| Practice Telephone | 9184810655 |
| Practice Fax Number | 9184818729 |
| Mailing Telephone | 9184810655 |
| Mailing Fax Number | 9184818729 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2009-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
3020 | OK | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
| 1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
| 1750651113 | Michael Peterson | Social Worker | 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 | 2012-01-03 |
| 1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
| 1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
| 1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
| 1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
| 1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
| 1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
| Street Address |
6808 S MEMORIAL DR STE 100 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-2066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164615407 | Peace Chiropractic Clinic, P.C. | Chiropractor | 4134 S Harvard Ave, Ste B2, Tulsa, OK 74135-2628 | 2007-08-21 |
| 1962509810 | Robert P Peace | Chiropractor | 3150 E 41st St Ste 113, Tulsa, OK 74105-3756 | 2006-09-20 |
| 1205939444 | Ben Daniel Beeler | Chiropractor | 6117 S Mingo Rd Ste C, Tulsa, OK 74133-6313 | 2006-09-06 |
| 1619983392 | Opal Juanita Garman | Chiropractor | 4520 S Peoria Ave, Tulsa, OK 74105-4563 | 2006-08-01 |
| 1467480822 | Brad Monroe Hayes | Chiropractor | 6717 S Yale Ave, Suite 110, Tulsa, OK 74136-3311 | 2006-06-28 |
| 1164480463 | Barry Alan Lockhart | Chiropractor | 9225 S Toledo Ave, Tulsa, OK 74137-2727 | 2006-05-03 |
| 1780648469 | Troy Howard Cool | Chiropractor | 3315 E 47th Pl, Suite 100, Tulsa, OK 74135-2914 | 2006-04-12 |
| 1558378752 | Michael Shane Garman | Chiropractor | 4520 S Peoria Ave, Tulsa, OK 74105-4563 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508945932 | Edward E Echalk | Chiropractor | 211 S Perkins Rd, Suite 20, Stillwater, OK 74074-3651 | 2006-11-05 |
| 1447343702 | Justin Mark Keen | Chiropractor | 301 W Elm St, Fairview, OK 73737-1618 | 2006-10-01 |
| 1013015064 | David Bo Waggoner | Chiropractor | 7000 Nw Expressway St, Suite H, Oklahoma City, OK 73132-3514 | 2006-09-20 |
| 1609971241 | Kevin G. Bradley | Chiropractor | 640 Alexander Dr Ste 107, Eufaula, OK 74432-4013 | 2006-09-14 |
| 1336257781 | Chris Allen Humble | Chiropractor | 508 E Fresno Ave, Ponca City, OK 74601-2817 | 2006-08-27 |
| 1205375441 | Harris Sports Chiropractic & Wellness Center | Chiropractor | 521 W Main St, Jenks, OK 74037-3750 | 2017-02-21 |
| 1609321223 | Helix Integrated Health | Chiropractor | 9402 N May Ave, Oklahoma City, OK 73120-2701 | 2016-08-24 |
| 1639468648 | Ryne Shafer | Chiropractor | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2011-03-30 |
| 1922106590 | Kevin G. Bradley P.C. | Chiropractor | 640 Alexander Dr Ste 107, Eufaula, OK 74432-4013 | 2006-09-20 |
Please comment or provide details below to improve the information on MICHAEL L PETERSON.
| 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.