DR. ELAINE MAE PETERSON (NPI# 1912344367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912344367 |
Entity Type | Individual |
Full Name | DR. ELAINE MAE PETERSON |
Credential | D.O. |
Practice Address |
2335 172nd St Ne Marysville WA 98271-4753 |
Practice Telephone | 3606511550 |
Practice Fax Number | 3606511560 |
Mailing Telephone | 3606511550 |
Mailing Fax Number | 3606511560 |
Enumeration Date | 2013-05-24 |
Last Update Date | 2020-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | OP60644914 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255881777 | Elaine Peterson | Social Worker | 250 W 57th St Ste 501, New York, NY 10107-0500 | 2016-10-07 |
Street Address |
2335 172ND ST NE |
City | MARYSVILLE |
State | WA |
Zip Code | 98271-4753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376690040 | Tara Ann Barnard | Counselor | 2335 172nd St Ne, Marysville, WA 98271-4753 | 2007-01-04 |
1932682705 | Jeffrey James Gallagher | Physician Assistant | 2335 172nd St Ne, Marysville, WA 98271-4753 | 2018-09-07 |
1679608327 | Tolani B Mwatha | Family Medicine | 2335 172nd St Ne, Marysville, WA 98271-4753 | 2007-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
Find all providers in zip 98271 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477735009 | North State Health Clinic, Inc. | Pediatrics | 314 H St, Ste-a, Marysville, CA 95901-5832 | 2007-12-05 |
1174718985 | Mill Valley Pediatrics, Inc. | Pediatrics | 1140 Charles Ln, Marysville, OH 43040-9797 | 2007-09-14 |
1497947782 | Chukwuemeka Ndulue | Pediatrics | 825 9th St, Ste C, Marysville, CA 95901-5265 | 2007-08-10 |
1154367084 | Cheryl Kaye Kirkby | Pediatrics | 17853 State Route 31, Suite C, Marysville, OH 43040-9609 | 2006-06-21 |
1437159241 | Nikola T Alain | Pediatrics | 610 S Plum St, Marysville, OH 43040-1630 | 2005-07-22 |
1235591058 | Janna Lam Keenan | Pediatrics | 4420 76th St Ne, Marysville, WA 98270 | 2016-03-22 |
1942694476 | Kelley Jean Kadunc | Pediatrics | 2901 174th St Ne, Marysville, WA 98271-4743 | 2015-03-23 |
1265839476 | Yuba Health Clinic, Inc | Pediatrics | 527 E St, Marysville, CA 95901-5529 | 2014-12-03 |
1699192658 | Wei-jen Hsieh | Pediatrics | 2901 174th St Ne, Marysville, WA 98271-4743 | 2014-03-27 |
1508204009 | Thiyagu Ganesan | Pediatrics | 5730 Packard Avenue, Suite No: 500, Marysville, CA 95993 | 2013-06-06 |
Find all providers in MARYSVILLE |
City | MARYSVILLE |
Zip Code | 98271 |
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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.