MICHAEL PETERSON


Address: 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568
Phone: 6512900133

MICHAEL PETERSON (NPI# 1912975871) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
45095 MN Allopathic & Osteopathic Physicians

Other Providers MICHAEL PETERSON

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

Office Location

Street Address 225 SMITH AVE N STE 400
City SAINT PAUL
State MN
Zip Code 55102-2568

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SAINT PAUL
Zip Code 55102

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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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