GREGORY PETERSON (NPI# 1912385931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
3500 GASTON AVE |
City | DALLAS |
State | TX |
Zip Code | 75246-2017 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 75246 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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 |
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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.