STEPHEN EUGENE PETERSON (NPI# 1801137377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801137377 |
| Entity Type | Individual |
| Full Name | STEPHEN EUGENE PETERSON |
| Credential | M.D. |
| Practice Address |
428 W 42nd St Kansas City MO 64111-3176 |
| Practice Telephone | 8168422500 |
| Practice Fax Number | 8168429980 |
| Mailing Telephone | 8168422500 |
| Mailing Fax Number | 8168429980 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
04-21932 | KS | Allopathic & Osteopathic Physicians |
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
R5P78 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821562885 | Stephen Lynn Peterson II | Respiratory Therapist, Registered | 1350 S Ellsworth Rd Apt 1122, Mesa, AZ 85209-2809 | 2019-01-13 |
| 1003284886 | Stephen Peterson | Counselor | 7400 Metro Blvd Ste 220, Edina, MN 55439-2321 | 2015-09-09 |
| 1790161776 | Stephen Peterson | Social Worker | 3708 Ashley Oaks Dr, Apt. D, Lafayette, IN 47905-4495 | 2015-07-31 |
| 1114331535 | Stephen C Peterson | Family Medicine | 14 N 3rd Ave, Fruitport, MI 49415-8942 | 2014-06-13 |
| 1992897771 | Stephen Dexter Peterson | General Practice | 185 E. 7th Ave., Suite D, Chico, CA 95926 | 2006-09-29 |
| 1164538021 | Stephen W Peterson | Dentist | 206 Cypress St, Manistee, MI 49660-1700 | 2006-08-22 |
| 1720693617 | Stephen Peterson | Physical Therapist | 3390 Saxonburg Blvd Ste 250, Glenshaw, PA 15116-3160 | 2020-09-09 |
| 1548659451 | Stephen Peterson | Physical Therapist | 746 S Main Ave, Fallbrook, CA 92028-3333 | 2015-01-15 |
| 1891964706 | Stephen Peterson | Case Manager/Care Coordinator | 2650 W Broadway, Louisville, KY 40211-1333 | 2008-02-25 |
| 1629127915 | Stephen P Peterson | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2007-01-09 |
| Street Address |
428 W 42ND ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063613057 | Logan & Peterson, PC | Clinic/Center | 428 W 42nd St, Kansas City, MO 64111-3176 | 2007-05-29 |
| 1184965667 | William Searle Logan | Psychiatry & Neurology | 428 W 42nd St, Kansas City, MO 64111-3176 | 2013-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285959163 | Nikita Shah | Psychiatry & Neurology | 1000 E 24th St Unit Office53, Kansas City, MO 64108-2776 | 2010-04-02 |
| 1184965667 | William Searle Logan | Psychiatry & Neurology | 428 W 42nd St, Kansas City, MO 64111-3176 | 2013-03-08 |
| 1316052178 | Colin Neil Mackenzie | Psychiatry & Neurology | 400 E Red Bridge Rd, Ste 302, Kansas City, MO 64131-4031 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528581683 | Elias Ghossoub | Psychiatry & Neurology | 1438 S Grand Blvd Rm 7, Saint Louis, MO 63104-1027 | 2017-07-20 |
| 1003086638 | Anasseril E Daniel | Psychiatry & Neurology | 33 E Broadway Ste 115, Columbia, MO 65203-4207 | 2008-03-11 |
| 1659541456 | David Leo Vlach | Psychiatry & Neurology | 1115 E Pence Rd, Cameron, MO 64429-8804 | 2008-03-07 |
| 1912002155 | Marcia Davenport Kent | Psychiatry & Neurology | 324 S Hudson St, Buckner, MO 64016 | 2006-09-13 |
| 1386633360 | Terri Lynn Riutcel | Psychiatry & Neurology | 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 | 2005-10-21 |
| 1992793145 | Sadashiv Parwatikar | Psychiatry & Neurology | 2107 Menard St, Saint Louis, MO 63104-4140 | 2005-10-12 |
| 1952569030 | James Kenneth Wolfson | Psychiatry & Neurology | 1900 W Sunshine St, Us Medical Center for Federal Prisoners, Springfield, MO 65807-2240 | 2008-05-27 |
| 1417166729 | Carlos Julio Tomelleri | Psychiatry & Neurology | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2007-05-22 |
| 1912129362 | Robert Gary Sarrazin | Psychiatry & Neurology | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2007-05-03 |
| 1346323870 | Jennifer Elaine Brockman | Psychiatry & Neurology | 321 W Promenade St, Mexico, MO 65265-2719 | 2006-10-20 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.