DR. KIM A PETERSON (NPI# 1821028960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821028960 |
| Entity Type | Individual |
| Full Name | DR. KIM A PETERSON |
| Credential | DO |
| Practice Address |
610 Nw 11th St Hermiston OR 97838-6601 |
| Mailing Address |
Po Box 1724 Hermiston OR 97838-3724 |
| Practice Telephone | 5416673439 |
| Practice Fax Number | 5416673414 |
| Mailing Telephone | 5415649034 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | DO16339 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 077920 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144408048 | Kim A Peterson | Registered Nurse | 1116 Elizabeth Ave, Marinette, WI 54143-2515 | 2008-02-04 |
| 1336749084 | Kim D Peterson | Case Manager/Care Coordinator | 1370 S West Temple, Salt Lake City, UT 84115-5218 | 2020-10-30 |
| 1770985160 | Kim Thanh Peterson | Speech-Language Pathologist | 1020 W 18th St, Sioux Falls, SD 57104-4707 | 2014-09-17 |
| 1932372182 | Kim B Peterson | Hearing Instrument Specialist | 823 N 2nd St, Suite 213, Milwaukee, WI 53203-1818 | 2008-04-09 |
| 1902015696 | Kim Peterson | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2007-05-21 |
| 1881748796 | Kim J Peterson | Counselor | 55 North Main Street, Suite B, Centerville, OH 45459 | 2007-01-22 |
| Street Address |
610 NW 11TH ST |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538147293 | John Eric Adams | Pharmacist | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2006-01-04 |
| 1407491913 | Marah Rankins | Dietitian, Registered | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2019-11-08 |
| 1225591787 | Linda Joan Cornwell | Nurse Practitioner | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2019-04-11 |
| 1700349404 | Chris Dinardo | Physician Assistant | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2019-04-09 |
| 1831662600 | Sarah Boening | Speech-Language Pathologist | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2019-01-04 |
| 1255807145 | Rachel Marie Marsh | Dietitian, Registered | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2018-10-17 |
| 1649784612 | Trux French | Pharmacist | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2017-11-28 |
| 1649783176 | Joseph Justus Stanger | Registered Nurse | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2017-11-06 |
| 1912420084 | Kara Hayden | Student in an Organized Health Care Education/Training Program | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2017-07-20 |
| 1356886063 | Rachel Tate | Dietitian, Registered | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609887819 | Sara Trask | Emergency Medicine | 1050 W Elm Ave Ste 110, Hermiston, OR 97838-2713 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043741010 | Hannah D Wolsiefer-leak | Emergency Medicine | 2826 East Barnett Rd, Medford, OR 97504-8332 | 2017-03-22 |
| 1366896581 | Collin Andrew Wulff | Emergency Medicine | 162 Ne Cloverdale Dr, Albany, OR 97321-1623 | 2016-04-14 |
| 1912361718 | Bryce Edwards | Emergency Medicine | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2016-04-07 |
| 1285013375 | Joseph Severo Simon | Emergency Medicine | 1200 Hilyard St Ste 310, Eugene, OR 97401-8122 | 2015-05-22 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1104210921 | Elizabeth Hatfield | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Cdw, Portland, OR 97239-3011 | 2015-03-19 |
| 1699171918 | Stephen Boyer | Emergency Medicine | 3708 Sw Lyle Ct, Portland, OR 97221-3963 | 2014-11-13 |
| 1679991590 | Meaghan Dehning | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Em, Portland, OR 97239-3011 | 2014-03-29 |
| 1760725485 | Deirdre Harmony Witte | Emergency Medicine | Salem Emergency Physicians, C/o Salem Hospital Ed, 890 Oak St, Se, Building A, Salem, OR 97301 | 2013-04-01 |
| 1164765293 | Joshua Starbuck Virgen Goldner | Emergency Medicine | 10180 Se Sunnyside Rd Dept Of, Clackamas, OR 97015-8970 | 2013-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KIM A PETERSON.
| 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.