GREGORY PETERSON


Address: 3500 Gaston Ave, Dallas, TX 75246-2017
Phone: 2148200111

GREGORY PETERSON (NPI# 1912385931) 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) 1912385931
Entity Type Individual
Full Name GREGORY PETERSON
Credential MD
Practice Address 3500 Gaston Ave
Dallas
TX 75246-2017
Practice Telephone 2148200111
Mailing Telephone 2148200111
Enumeration Date 2015-05-11
Last Update Date 2016-06-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology BP20055598 TX Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine BP10052636 TX Allopathic & Osteopathic Physicians

Other Providers GREGORY PETERSON

NPI Name Taxonomy Address Enumeration
1063818409 Gregory Howard Peterson Counselor 5926 Se 104th Ave Apt A, Portland, OR 97266-4184 2014-11-12
1548359243 Gregory J. Peterson Chiropractor 215 2nd St Se, Ortonville, MN 56278-1537 2006-10-12
1265525943 Gregory Scott Peterson Dentist 1725 Washington Road, Suite #505, Pittsburgh, PA 15241-2131 2006-10-02
1598705667 Gregory Wayne Peterson Chiropractor 902 E 2nd St, Ste 327, Winona, MN 55987-6354 2006-06-07
1619916962 Gregory N. Peterson Psychiatry & Neurology 1000 Silver St, Middletown, CT 06457 2006-06-05
1447255245 Gregory E Peterson Internal Medicine 1701 22nd St, Ste 207, West Des Moines, IA 50266-1443 2005-06-17
1245467141 Gregory Matthew Peterson Emergency Medicine 500 S Maple St, Empac, Ridgeview Medical Center, Waconia, MN 55387-1752 2009-06-18
1437311370 Gregory Peterson Dentist 503 E Imperial Hwy, Brea, CA 92821 2008-07-01
1770649832 Gregory L. Peterson Dentist 800 5th Ave, Windom, MN 56101-1651 2006-12-30
1790844009 Gregory James Peterson Family Medicine 1505 Pebble Lake Rd, Suite 500, Fergus Falls, MN 56537-3800 2006-12-06

Office Location

Street Address 3500 GASTON AVE
City DALLAS
State TX
Zip Code 75246-2017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851395297 Melanie K Flinn Pharmacist 3500 Gaston Ave, Dallas, TX 75246-2096 2005-06-13
1811594690 William C Haden Md Pllc Internal Medicine 3500 Gaston Ave, 4th Floor Jonsson Bl, Dallas, TX 75246-7524 2020-10-05
1770180705 Rachel Elizabeth Stelzer Nurse Anesthetist, Certified Registered 3500 Gaston Ave, Dallas, TX 75246-2017 2020-10-02
1366058653 Onyinyechi Sarah Onwuelezi Registered Nurse 3500 Gaston Ave, Dallas, TX 75246-2088 2020-09-22
1457962052 Leah Amundson Student in an Organized Health Care Education/Training Program 3500 Gaston Ave, Dallas, TX 75246-2088 2020-08-17
1538779798 Carrigan Lavon Belcher Pharmacist 3500 Gaston Ave, Dallas, TX 75246-2088 2020-08-03
1043820467 Jenny Lee Pharmacist 3500 Gaston Ave, Dallas, TX 75246-2017 2020-08-01
1588273973 Teena Sam Pharmacist 3500 Gaston Ave, Dallas, TX 75246-2017 2020-07-30
1588282925 Ramy Doss Student in an Organized Health Care Education/Training Program 3500 Gaston Ave, Dallas, TX 75246-2088 2020-07-13
1053938704 Melanie Johnson Physical Therapist 3500 Gaston Ave, Dallas, TX 75246-2017 2020-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396201356 Roseann Estrada Mendoza Nurse Practitioner 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 2019-02-14
1033683701 Marta Revilla-leon Dentist 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 2019-01-16
1912408170 Liza Johannesson Transplant Surgery Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 2018-02-23
1841710266 Stephanie Chartier-plante Student in an Organized Health Care Education/Training Program 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 2017-06-27
1528505096 Adam Bohnenblust Chiropractor 411 N Washington Ave Ste 2200, Dallas, TX 75246 2017-01-23
1699121327 Magnolia Pain Associates Pllc Pain Medicine 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 2016-05-12
1073969408 Apurva Yeluru Hospitalist 3500 Gaston Ave Ste 550, Dallas, TX 75246 2016-05-04
1134580533 Sp Alf Ops Co, LLC Assisted Living Facility 3922 Simpson Street, Dallas, TX 75246 2016-03-11
1386031185 Lisa Voigt Student in an Organized Health Care Education/Training Program 3501 Junius Street, Dallas, TX 75246 2015-04-20
1891107843 Jessica Shie Internal Medicine Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 2014-05-27
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326692468 Westlake Dermatology, Pa Dermatology 7515 Greenville Ave Ste 1030, Dallas, TX 75231-3866 2019-07-26
1710465380 Flora Kim Md Pllc Dermatology 4300 Macarthur Ave Ste 100, Dallas, TX 75209-6544 2018-08-05
1447619291 Blackburn Woolfolk Dermatology, Pllc Dermatology 8200 Brookriver Dr Ste N705, Dallas, TX 75247-4052 2016-02-22
1376927707 Isabel Mary Haugh Dermatology 2350 N Stemmons Fwy Ste 4200, Dallas, TX 75207-2700 2015-07-15
1245627082 Darlene Erica Gou Dermatology 4605 Cedar Springs Rd Apt 233, Dallas, TX 75219-1369 2015-04-20
1275927162 Era Caterina Murzaku Dermatology 8230 Walnut Hill Ln Ste 500, Dallas, TX 75231 2015-03-27
1104245505 Shauna Eve Goldman Dermatology 2350 North Stemmons Freeway Suite 4200, Dallas, TX 75390-2045 2014-04-14
1609212158 Janet Yiwen Li Dermatology 8210 Walnut Hill Rd., Prof Off Bldg 1 Ste. 810, Dallas, TX 75231 2013-05-10
1295179190 Sivaramya Kollipara Dermatology 5445 La Sierra Dr Ste 102, Dallas, TX 75231-3464 2013-04-22
1780027052 Elizabeth Wilder Dermatology 411 N Washington Ave Ste 1200, Dallas, TX 75246-1744 2013-04-16
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75246

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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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