DR. DANIEL A PETERSON (NPI# 1902913304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902913304 |
| Entity Type | Individual |
| Full Name | DR. DANIEL A PETERSON |
| Credential | MD |
| Practice Address |
2414 Kohler Memorial Dr Sheboygan WI 53081 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9204574461 |
| Practice Fax Number | 9204591412 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
39816 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | BP5879020 | 01 | |
| WI | 32434300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
| 1437536786 | Daniel L. Peterson | Podiatrist | 4401 Coors Blvd Sw Ste A, Albuquerque, NM 87121-6460 | 2015-05-06 |
| 1477951291 | Daniel Peterson | Registered Nurse | 2182 Antrim Dr, Davison, MI 48423-8438 | 2014-12-10 |
| 1972630564 | Daniel L Peterson | Internal Medicine | 926 Incline Way, Unit 150, Incline Village, NV 89451-7933 | 2007-02-28 |
| 1780624387 | Daniel P Peterson | Physical Therapist | 12729 E Washington Rd Ste 2, Reese, MI 48757-9722 | 2006-06-08 |
| 1902883846 | Daniel J Peterson | Internal Medicine | 345 E Mount Airy Ave, Philadelphia, PA 19119-1114 | 2005-12-30 |
| 1285626812 | Daniel B Peterson | Family Medicine | 5301 Vernon Ave S, Edina, MN 55436-2303 | 2005-08-19 |
| 1164980447 | Daniel Charles Peterson | Dentist | 1550 30th Ave S, Moorhead, MN 56560-5150 | 2019-03-06 |
| 1124503677 | Daniel Carl Peterson | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-10-01 |
| 1295211878 | Daniel Peterson | Physical Therapist | 8200 Bryan Dairy Rd Ste 150, Largo, FL 33777-1355 | 2018-07-17 |
| Street Address |
2414 KOHLER MEMORIAL DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461481 | Tracey N Aukerman | Audiologist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2005-07-21 |
| 1124659420 | Geoffrey Wein | Pharmacist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-27 |
| 1154961050 | Stephanie L Holschbach | Nurse Practitioner | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-09 |
| 1104460872 | Amy C Konkol | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-11-05 |
| 1891346672 | Matthew Paul Buch | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-09-24 |
| 1073166518 | Molly E Jorde | Dietitian, Registered | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-07-23 |
| 1215419544 | Jayson A Haan | Occupational Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-09-04 |
| 1841779238 | Michelle Zapinski | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2018-08-07 |
| 1023502192 | Christine Joel Debruine | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-21 |
| 1780177675 | Mallory Florence Andrews | Optometrist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518290451 | Steven Kenneth Kanter | Radiology | 4323 Morning View Ct, K206, Sheboygan, WI 53081-1236 | 2009-09-10 |
| 1659564326 | George S. Fultz | Radiology | 316 Geele Ave, Sheboygan, WI 53083-5060 | 2007-08-24 |
| 1538248760 | Open Mri of Sheboygan LLC | Radiology | 1414 North Taylor, Open Mri of Sheboygan, Sheboygan, WI 53081 | 2006-11-06 |
| 1366559254 | Randal J Zabrowski | Radiology | 4541 N Evergreen Dr, Sheboygan, WI 53081-7935 | 2006-08-24 |
| 1780902395 | Nathan Evan Thompson | Radiology | 2629 N 7th St, Sheboygan, WI 53083 | 2010-05-06 |
| 1134309354 | John R Slaby | Radiology | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2007-11-05 |
| 1649387846 | Awais H Siddique | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-24 |
| 1962517094 | Steven H Falconer | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-20 |
| 1164536892 | Rick G Thyes | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-19 |
| 1083623110 | Richard L Campbell | Radiology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-08-07 |
| Find all providers in SHEBOYGAN | ||||
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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.