DR. PATTI LYNN PETERSON (NPI# 1780678318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780678318 |
| Entity Type | Individual |
| Full Name | DR. PATTI LYNN PETERSON |
| Credential | M.D. |
| Practice Address |
1205 Pyle Dr Kingsford MI 49802-1132 |
| Practice Telephone | 9067797100 |
| Practice Fax Number | 9067797101 |
| Mailing Telephone | 9067797100 |
| Mailing Fax Number | 9067797101 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2012-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301045762 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 32569100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720185416 | Patti K Peterson | Counselor | 3610 Nw Blue Jacket Dr, Lees Summit, MO 64064-3012 | 2006-09-17 |
| 1174852701 | Patti Kay Peterson | Registered Nurse | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2009-12-10 |
| 1336270024 | Patti Ann Peterson | Licensed Vocational Nurse | 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 | 2007-03-07 |
| Street Address |
1205 PYLE DR |
| City | KINGSFORD |
| State | MI |
| Zip Code | 49802-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033266408 | Dickinson Neurology Associates P C | Specialist | 1205 Pyle Dr, Kingsford, MI 49802-1132 | 2007-01-05 |
| 1477548311 | Nilar Shein | Psychiatry & Neurology | 1205 Pyle Dr, Kingsford, MI 49802-1132 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154711398 | Matthew Giordanelli | Physical Therapist | 808 Terrace Ave, Kingsford, MI 49802 | 2015-01-26 |
| 1205186632 | Integrated First Response-great Lakes | Ambulance | 2260 Woodward Ave, Kingsford, MI 49802 | 2012-09-13 |
| 1104006469 | Home Healthcare Professionals | Home Health | 733 Cass Ave, Kingsford, MI 49802 | 2007-11-05 |
| 1619072279 | Robert Joseph D Amour | Dentist | 1075 Woodward Ave, Suite A, Kingsford, MI 49802 | 2006-09-14 |
| 1891218038 | Catherine Olson | Registered Nurse | 715 Pyle Dr, Kingsford, MI 49802 | 2017-07-19 |
| 1689603839 | Linda M Opsahl | Nurse Practitioner | 800 East Blvd, Kingsford, MI 49802 | 2006-07-01 |
| 1730125436 | James A Hicks | Chiropractor | 815 Pyle Drive, Family Chiropractic Clinic PC, Kingsford, MI 49802 | 2006-06-21 |
| 1063557270 | Biancos Physical Therapy & Wellness Center | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| 1235274432 | Danny J Bianco | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| 1639214844 | Jodi Wadge | Physical Therapist | 601 S Westwood Ave, Kingsford, MI 49802-1109 | 2007-02-21 |
| Find all providers in zip 49802 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548311 | Nilar Shein | Psychiatry & Neurology | 1205 Pyle Dr, Kingsford, MI 49802-1132 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
| 1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
| 1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
| Find all providers with the same taxonomy | ||||
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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.