AMY K. PETERSEN (NPI# 1730274523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730274523 |
| Entity Type | Individual |
| Full Name | AMY K. PETERSEN |
| Credential | D.O. |
| Practice Address |
6800 Lake Dr Ste 260 West Des Moines IA 50266-2504 |
| Practice Telephone | 5156305022 |
| Practice Fax Number | 5156305026 |
| Mailing Telephone | 5156305022 |
| Mailing Fax Number | 5156305026 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 3913 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306019484 | Amy Petersen | Speech-Language Pathologist | 130 Atkins Dr, Tea, SD 57064-2082 | 2008-04-09 |
| 1689731796 | Amy Kathryn Petersen | Occupational Therapist | 5209 Balboa Dr, Virginia Beach, VA 23464-2610 | 2007-01-02 |
| 1396350906 | Amy Suzette Petersen | Registered Nurse | 1501 E 10th St, Atlantic, IA 50022-1936 | 2020-09-10 |
| 1528688694 | Amy Beth Petersen | Nurse Practitioner | 1800 Camelot Dr Ste 300, Virginia Beach, VA 23454-2440 | 2020-04-19 |
| 1164981726 | Amy Janelle Petersen | Nurse Practitioner | 3509 Coffee Rd, Ste D3, Modesto, CA 95355-1357 | 2019-03-13 |
| 1043780125 | Amy Devanney Petersen | Social Worker | 478 10th St, Brooklyn, NY 11215-4302 | 2018-11-30 |
| 1346682267 | Amy Petersen | Advanced Practice Midwife | 1025 Marsh St, Mankato, MN 56001-4752 | 2013-07-19 |
| Street Address |
6800 LAKE DR STE 260 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164683835 | Tara J Federly | Allergy & Immunology | 6800 Lake Dr Ste 260, West Des Moines, IA 50266-2504 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942564745 | Kiley Ottervanger | Pediatrics | 6000 University Ave Ste 100, West Des Moines, IA 50266-8200 | 2012-06-27 |
| 1255699443 | Daniel Edward Pelzer | Pediatrics | 5950 University Ave Ste 250, West Des Moines, IA 50266 | 2012-04-25 |
| 1154691475 | Julian Cesar Serrano | Pediatrics | 9794 Red Sunset Ct, West Des Moines, IA 50266-5008 | 2012-01-03 |
| 1528212594 | Stephen T. H. Gutu | Pediatrics | 2800 University Ave Ste 285, West Des Moines, IA 50266-1256 | 2008-11-04 |
| 1104804087 | Amy L Wallin | Pediatrics | 1271 8th St, Suite 100, West Des Moines, IA 50265-2650 | 2006-01-03 |
| 1487641551 | James Anthony Coggi | Pediatrics | 1031 Office Park Rd Ste 10, West Des Moines, IA 50265-2582 | 2005-10-04 |
| 1275984015 | Jenna Murray | Pediatrics | 6000 University Ave Ste 100, West Des Moines, IA 50266-8200 | 2016-06-23 |
| 1003296948 | Joy Eleanor Hanson | Pediatrics | 5950 University Ave Ste 250, West Des Moines, IA 50266-8233 | 2015-06-05 |
| 1851647614 | Catherine J Sandberg | Pediatrics | 1271 8th St, Suite 100, West Des Moines, IA 50265-2650 | 2012-07-31 |
| 1265797310 | Kimberly C Joliet | Pediatrics | 6000 University Ave, Suite #100, West Des Moines, IA 50266-8203 | 2012-07-05 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on AMY K. PETERSEN.
| 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.