MICHAEL PETERSON (NPI# 1912975871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912975871 |
Entity Type | Individual |
Full Name | MICHAEL PETERSON |
Credential | MD |
Practice Address |
225 Smith Ave N Ste 400 Saint Paul MN 55102-2568 |
Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
Practice Telephone | 6512900133 |
Mailing Telephone | 6122625000 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2011-11-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
45095 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
1548715634 | Michael Latrae Peterson | Social Worker | 6767 W Windmill Ln, Las Vegas, NV 89139-6501 | 2016-08-18 |
1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
1750651113 | Michael Peterson | Social Worker | 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 | 2012-01-03 |
1578848131 | Michael Dean Peterson | Dentist | 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 | 2011-10-14 |
1467693119 | Michael Lamont Peterson | Registered Nurse | 13 Hollister St, Rochester, NY 14605-1401 | 2009-03-10 |
1003062001 | Michael Carl Peterson | Physical Therapist | 2850 Mitchell Rd, Jamestown, NY 14701-8906 | 2008-08-11 |
1942472691 | Michael E Peterson | Dentist | 5355 W State St, Boise, ID 83703-3333 | 2008-04-01 |
1134325145 | Michael W Peterson | Dentist | 1319 Tennessee St, Vallejo, CA 94590 | 2007-06-26 |
1609079094 | Michael Gene Peterson | Emergency Medicine | 201 E. Nicollet Blvd., Burnsville, MN 55337 | 2007-06-06 |
Street Address |
225 SMITH AVE N STE 400 |
City | SAINT PAUL |
State | MN |
Zip Code | 55102-2568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083697825 | Richard Jay Brody | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2005-11-25 |
1780209486 | Megan Kipfer | Nurse Practitioner | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2020-06-09 |
1659836070 | Jessica L Mahoney | Nurse Practitioner | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2019-02-11 |
1124501515 | Matthew Alan Klimek | Licensed Practical Nurse | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2018-09-11 |
1427552686 | Brittany Lynn Butts | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2018-03-22 |
1598212839 | Rachel M Thompson | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-09-02 |
1659827111 | Caitlin Ann Rau | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-08-25 |
1649723107 | Bridget Blake | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-08-01 |
1568809986 | Takeshi Onizuka | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102 | 2013-05-24 |
1184988032 | Kalie Yang Kebed | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102 | 2012-06-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
Find all providers in zip 55102 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639464498 | Ryan J Koene | Internal Medicine | 172 6th St E, Saint Paul, MN 55101-1993 | 2011-06-09 |
1629267588 | Edriss Ali Charaf | Internal Medicine | 1700 University Ave W Fl 7, Saint Paul, MN 55104-3727 | 2007-10-17 |
1154384071 | Douglas David Hodgkin | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2006-04-11 |
1992780423 | David Ned Dunbar | Internal Medicine | 225 Smith Ave N, Suite 500, Saint Paul, MN 55102-2534 | 2005-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043507577 | Yan Dong | Internal Medicine | 1001 E Superior St Ste 201, Duluth, MN 55802-2228 | 2011-07-05 |
1184662967 | Marco A Guerrero | Internal Medicine | 640 Jackson Street - Ms 11102m, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-06-03 |
1598390072 | Haley Stebbing | Internal Medicine | 800 E 28th St # H2100, Minneapolis, MN 55407-3723 | 2020-03-05 |
1477018596 | Darwin Yeung | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2019-02-02 |
1336628007 | Walid Barake | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0002 | 2018-08-13 |
1790203156 | Avi Sabbag | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-09-06 |
1366883712 | Fatima Ali-ahmed | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-07-15 |
1891044400 | Narayan Gurukrip Kowlgi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-08-29 |
1992930101 | Archana Rajdev | Internal Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2009-05-18 |
1770740417 | Siva K Mulpuru | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2008-05-20 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55102 |
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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.