LUCY C PETERSON (NPI# 1750373940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750373940 |
| Entity Type | Individual |
| Full Name | LUCY C PETERSON |
| Credential | MD |
| Practice Address |
900 Hilligoss Blvd Se Fosston MN 56542-1542 |
| Practice Telephone | 2184357028 |
| Mailing Telephone | 2184357028 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 43759 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 874673700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053681452 | Lucy Rose Peterson | Counselor | 111 Bever Grade Road, Lapwai, ID 83540-0367 | 2012-01-03 |
| 1790776425 | Lucy Elizabeth Peterson | Plastic Surgery | 105 W 8th Ave, Ste 500, Spokane, WA 99204-2302 | 2005-11-02 |
| Street Address |
900 HILLIGOSS BLVD SE |
| City | FOSSTON |
| State | MN |
| Zip Code | 56542-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659234 | Jordyn M Himley | Occupational Therapist | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2020-11-06 |
| 1992368294 | Camille J Hagen | Dietitian, Registered | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2019-04-22 |
| 1164984647 | Vickie M Anderson | Physical Therapist | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2019-04-03 |
| 1376033357 | Mallory Alice Vig | Occupational Therapist | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2018-05-15 |
| 1558851543 | Nicholas Chandler Woods | Nurse Practitioner | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2018-05-15 |
| 1215431853 | Christina Rose Leonard | Nurse Practitioner | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2018-03-20 |
| 1598296535 | First Care Medical Services | Ambulance | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2017-03-22 |
| 1568857092 | Sheila Follis | Specialist/Technologist | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2015-04-01 |
| 1801287875 | Kari Hitchen | Nurse Anesthetist, Certified Registered | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2015-02-12 |
| 1538588579 | Jacob Arthur Vossler | Physical Therapist | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2014-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114497773 | Bethany Board and Lodge, Inc | Assisted Living Facility | 203 S Inderlee Ave, Fosston, MN 56542 | 2018-11-27 |
| 1942756556 | Bethany Board and Lodge, Inc | Assisted Living Facility | 903 Hilligoss Blvd Se Suite B, Fosston, MN 56542 | 2016-09-01 |
| 1407268642 | Prairie Pines Community | Assisted Living Facility | 903 Praire Pines Drive, Fosston, MN 56542 | 2014-05-22 |
| 1992115737 | Ekenesenarienrien Cynthia Omokaro | Family Medicine | Essentia Health Fosston Clinic, 900 Hilligoss Blvd. Se, Fosston, MN 56542 | 2014-05-02 |
| 1093944456 | Steven G. Lesmeister | Dentist | 105 2nd Street Sw, Mcintosh, MN 56542 | 2009-07-07 |
| 1427122811 | Kristi Lea Widseth | Nurse Anesthetist, Certified Registered | 900 Hilligoss Boulevard Se, Essentia Health Fosston, Fosston, MN 56542 | 2006-11-20 |
| 1184709685 | Todd William Sandwick | Dentist | 418 1st St. W., Fosston, MN 56542 | 2006-10-25 |
| 1487739975 | Kurt Anthony Albright | Dentist | 201 Hillestad Ave. Ne, Fosston, MN 56542 | 2006-10-25 |
| 1457487654 | Jodie M Osmonson | Chiropractor | 106 1st St W, Fosston, MN 56542-1213 | 2007-02-24 |
| 1376719112 | Chiropractic Health Clinic, Inc | Chiropractor | 106 1st St W, Fosston, MN 56542-1213 | 2008-05-01 |
| Find all providers in zip 56542 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581218 | Catherine Pamela Edwards | Obstetrics & Gynecology | 7048 Highover Ct S, Chanhassen, MN 55317-7569 | 2019-11-04 |
| 1407329139 | Arthur Joseph Horowitz | Obstetrics & Gynecology | 830 Edgemoor Dr, Hopkins, MN 55305-4852 | 2019-01-04 |
| 1710437967 | David Olson | Obstetrics & Gynecology | 8201 Creekside Cir, Bloomington, MN 55437-3836 | 2016-10-12 |
| 1326492182 | Leah Christine Henke | Obstetrics & Gynecology | 688 Holly Ave Apt 5, Saint Paul, MN 55104-7557 | 2016-04-19 |
| 1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
| 1285052027 | Paige Persch | Obstetrics & Gynecology | 6565 France Ave S Ste 300, Edina, MN 55435-2154 | 2014-03-30 |
| 1386065100 | Jennifer Arnhold Md Plc | Obstetrics & Gynecology | 13359 Isle Dr. Suite 2, Baxter, MN 56425-2222 | 2013-12-20 |
| 1598008716 | Sarah Marie Krueger | Obstetrics & Gynecology | 606 24th Ave S Ste 700, Minneapolis, MN 55454-1462 | 2013-04-05 |
| 1922341791 | Matthew Thomas Bigos | Obstetrics & Gynecology | 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 | 2013-03-31 |
| 1205191335 | William F Dickes | Obstetrics & Gynecology | 14708 57th St S, Afton, MN 55001-9686 | 2012-07-04 |
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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.