DAVID C PETERSON


Address: 323 S Minnesota St, Crookston, MN 56716-1601
Phone: 2182819556

DAVID C PETERSON (NPI# 1780760868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780760868
Entity Type Individual
Full Name DAVID C PETERSON
Credential DPM
Practice Address 323 S Minnesota St
Crookston
MN 56716-1601
Mailing Address 11823 Maple Lake Dr Se
Mentor
MN 56736-9443
Practice Telephone 2182819556
Mailing Telephone 2185742220
Enumeration Date 2006-10-31
Last Update Date 2008-01-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
301 MN Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
301 MN Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN BCBS MN 597S9PE 01
DMERC 0921200001 01
ND BCBS 26801 01

Other Providers DAVID PETERSON

NPI Name Taxonomy Address Enumeration
1215410584 David Peterson Dentist 1619 Brandywine Ln, Dixon, IL 61021-8757 2018-09-12
1386070647 David Michael Peterson Pharmacist 1200 W Gold St, Butte, MT 59701-2110 2013-09-18
1427336601 David James Peterson Physical Therapist 59 Akea Pl, Kula, HI 96790-8501 2011-07-22
1386858942 David Brian Peterson Psychologist 460 Oak St, Apt 115, Glendale, CA 91204-1265 2007-05-10
1851412241 David Peterson Chiropractor 17331 Penn Valley Dr, Penn Valley, CA 95946-9340 2007-04-03
1487716783 David Norman Peterson Dentist 22 2nd Ave S, Sauk Rapids, MN 56379-1408 2006-12-14
1033279484 David Eugene Peterson Dentist 17267 W 3rd St, Sddc, Redfield, SD 57469-1001 2006-12-08
1801968359 David Scott Peterson Psychiatry & Neurology 1345 East 3900 South Ste 208, Salt Lake City, UT 84124-4416 2006-11-13
1104905272 David Hedden Peterson Social Worker 222 9th Ave W, Alexandria, MN 56308-2221 2006-11-02
1932284031 David Donald Peterson Counselor 318 E Main St # 106, Battle Ground, WA 98604-8508 2006-10-26

Office Location

Street Address 323 S MINNESOTA ST
City CROOKSTON
State MN
Zip Code 56716-1601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164492716 Lance Michael Norman Occupational Therapist 323 S Minnesota St, Crookston, MN 56716-1601 2006-01-25
1538786207 Forrest Laporte Nurse Practitioner 323 S Minnesota St, Crookston, MN 56716-1601 2020-06-29
1003437369 Samantha Brentrup Pharmacist 323 S Minnesota St, Crookston, MN 56716-1601 2020-04-28
1275091282 Kelsey Billing Registered Nurse 323 S Minnesota St, Crookston, MN 56716-1601 2019-03-08
1174008288 Maen Abou-ghaida Orthopaedic Surgery 323 S Minnesota St, Crookston, MN 56716-1601 2018-09-25
1417430588 Monica Annette Wells Registered Nurse 323 S Minnesota St, Crookston, MN 56716-1601 2018-09-13
1043799612 Braydon Gourneau Pharmacist 323 S Minnesota St, Crookston, MN 56716-1601 2018-08-14
1952880668 Shelby Knott Pharmacist 323 S Minnesota St, Crookston, MN 56716-1601 2018-08-13
1740769090 Christine Jane Loff Physical Therapist 323 S Minnesota St, Crookston, MN 56716 2018-08-08
1194204610 Rhonda June Salentiny Physical Therapist 323 S Minnesota St, Crookston, MN 56716-1601 2018-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942789912 Savannah Danielle Miller Pharmacist 323 S Minnesota Street, Crookston, MN 56716 2018-08-10
1902037377 David Fernando Frugone Larrea Internal Medicine 400 South Minnesota Street, Crookston, MN 56716 2009-08-04
1831327964 Andres O Makarem Internal Medicine 400 S. Minnesota Ave, Crookston, MN 56716 2009-06-26
1255498564 Ind School District 593 Local Education Agency (LEA) 402 Fisher Ave, Crookston, MN 56716 2007-01-03
1821109422 Marla Rae Love Dietitian, Registered 400 S Minnesota Street, Crookston, MN 56716 2006-08-31
1508835133 Northwestern Mental Health Center Clinic/Center 603 Bruce St, Crookston, MN 56716 2006-03-16
1215932728 Villa St. Vincent Skilled Nursing Facility 516 Walsh St, Crookston, MN 56716 2005-06-21
1821533035 Lauren Shalane Wagendorf Counselor 603 Bruce St, Crookston, MN 56716 2016-12-23
1336594449 Lesmeister Dental LLC Dentist 1726 University Ave, Crookston, MN 56716 2016-04-26
1114270550 William T Erickson Dentist 1726 University Ave, Crookston, MN 56716 2012-10-23
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629389341 Michael Stephen Bevan Podiatrist 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 2010-06-28
1568595783 Stephen Bryan Wahman Podiatrist 1575 Sherwood Rd, Shoreview, MN 55126-8517 2007-03-14
1760465215 Minh Chau Margaret Nguyen Podiatrist 7600 France Ave S Ste 1100, Edina, MN 55435-5924 2005-11-29
1689655722 Michael B Debrule Podiatrist 6600 Lyndale Ave S, Suite#130, Richfield, MN 55423-3380 2005-11-07
1649279753 Thomas Joseph Holsinger Podiatrist 1527 Broadway St, Alexandria, MN 56308-2537 2005-07-20
1558898114 Kristofor James Kalvig Podiatrist 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 2017-05-15
1740544527 Aaron Daniel Corfield Podiatrist 909 Fulton St Se, Minneapolis, MN 55455-4800 2012-06-27
1912286964 Otter Tail Podiatry P.C. Podiatrist 120 E Junius Ave, Fergus Falls, MN 56537-2819 2011-08-09
1134412802 Karimah Z Shabazz Podiatrist 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 2011-05-27
1760614390 Alissa Joy Redding Podiatrist 417 Franklin St S, Glenwood, MN 56334-1598 2009-08-15
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Competitor

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City CROOKSTON
Zip Code 56716

Improve Information

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Dataset Information

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.

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