MR. SCOTT W PETERSON (NPI# 1720105901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720105901 |
| Entity Type | Individual |
| Full Name | MR. SCOTT W PETERSON |
| Credential | PA |
| Practice Address |
950 Bogard Rd Suite 233 Wasilla AK 99654-7105 |
| Practice Telephone | 9073522880 |
| Practice Fax Number | 9073522885 |
| Mailing Telephone | 9073522880 |
| Mailing Fax Number | 9073522885 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 246 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436787 | Scott Kermit Peterson | Registered Nurse | 30681 Olson St Apt 2, Pequot Lakes, MN 56472-3081 | 2020-01-08 |
| 1619413093 | Scott T Peterson | Dentist | 5235 W Baseline Rd, #187, Laveen, AZ 85339-3122 | 2017-01-10 |
| 1427202266 | Scott Andrew Peterson | Social Worker | 2000 Dry Valley Road, Loa, UT 84747 | 2008-11-06 |
| 1336398783 | Scott Allen Peterson | Occupational Therapist | 8765 Blue Pine Way, Reno, NV 89523-3843 | 2008-09-10 |
| 1013034842 | Scott L. Peterson | Counselor | 11011 S 48th St Ste 200, Phoenix, AZ 85044-1788 | 2007-03-25 |
| 1033126974 | Scott Michael Peterson | Specialist/Technologist | Lemoyne College Sports Medicine, 1419 Salt Springs Road, Syracuse, NY 13214-1399 | 2006-08-02 |
| 1750351441 | Scott David Peterson | Optometrist | 3988 Washington Blvd, Ogden, UT 84403-1826 | 2006-01-25 |
| 1649250242 | Scott M Peterson | Obstetrics & Gynecology | 3300 W Centre Ave, Bronson Ob Gyn Associates, Portage, MI 49024-4666 | 2006-01-19 |
| 1457917627 | Scott Jeffrey Peterson | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2019-05-14 |
| 1598121808 | Scott Peterson | Ophthalmology | 3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2630 | 2016-01-04 |
| Street Address |
950 BOGARD RD SUITE 233 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699734673 | Richard J Zajac | Internal Medicine | 950 Bogard Rd, 207, Wasilla, AK 99654-7105 | 2006-03-20 |
| 1194928234 | John R Oliver Md PC | Obstetrics & Gynecology | 950 Bogard Rd, Wasilla, AK 99654-7105 | 2007-06-07 |
| 1932282472 | Mat Su Valley Medical Center LLC | Durable Medical Equipment & Medical Supplies | 950 Bogard Rd, Wasilla, AK 99654-7105 | 2006-10-20 |
| 1669552550 | John Wayne Moore | Physician Assistant | 950 Bogard Rd, Suite 233, Wasilla, AK 99654-7105 | 2006-10-16 |
| 1134133499 | Alaska Heart Clinic, Inc | Internal Medicine | 950 Bogard Rd, Suite 207, Wasilla, AK 99654-7105 | 2006-07-29 |
| 1760413439 | John C Boston Do PC | Internal Medicine | 950 Bogard Rd, Suite 228, Wasilla, AK 99654-7105 | 2006-07-05 |
| 1881621860 | Melissa Peters, D.o. PC | Internal Medicine | 950 Bogard Rd, Suite 226, Wasilla, AK 99654-7105 | 2006-06-27 |
| 1912950148 | Mat Su Valley Medical Center LLC | Internal Medicine | 950 Bogard Rd, Wasilla, AK 99654-7105 | 2006-05-18 |
| 1093778029 | John Oliver | Obstetrics & Gynecology | 950 Bogard Rd, Suite 238, Wasilla, AK 99654-7105 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1184055600 | Terrin Lee Galbraith | Physician Assistant | 760 E Susitna Dr, Wasilla, AK 99654-3922 | 2013-12-09 |
| 1871879718 | Neil Anthony Nardini | Physician Assistant | 1700 E Parks Hwy Ste 200, Wasilla, AK 99654-7352 | 2011-10-24 |
| 1265599674 | Bruce A Bassity | Physician Assistant | 1001 Knik-goosebay Road, Wasilla, AK 99654 | 2007-01-03 |
| 1740358167 | Katherine Grace Van Atta | Physician Assistant | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2006-12-01 |
| 1871530022 | Jason Wayne Collins | Physician Assistant | 1700 E Parks Hwy # 200, Wasilla, AK 99654-7352 | 2006-05-31 |
| 1740235829 | Richard W. Blake | Physician Assistant | 3600 E Wickersham Way, Wasilla, AK 99654 | 2006-05-24 |
| 1255333738 | Virginia Carol Cooper | Physician Assistant | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2005-08-15 |
| 1427699222 | Matthew John Mau | Physician Assistant | 950 E Bogard Rd Ste 103, Wasilla, AK 99654-7184 | 2019-10-02 |
| 1710406822 | Cynthia Dunleavy | Physician Assistant | 4551 E Bogard Rd, Wasilla, AK 99654-6075 | 2017-09-11 |
| Find all providers in WASILLA | ||||
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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.