DR. DAVIS C PETERSON (NPI# 1922036201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922036201 |
Entity Type | Individual |
Full Name | DR. DAVIS C PETERSON |
Credential | M.D. |
Practice Address |
3831 Piper St Suite S-220 Anchorage AK 99508-4672 |
Practice Telephone | 9075633145 |
Practice Fax Number | 9075613967 |
Mailing Telephone | 9075633145 |
Mailing Fax Number | 9075613967 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2011-01-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
2346 | AK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MD23461 | 05 |
Street Address |
3831 PIPER ST SUITE S-220 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-4672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952376022 | Douglas Prevost | Orthopaedic Surgery | 3831 Piper St, Suite S-220, Anchorage, AK 99508-4672 | 2006-02-21 |
1659810281 | Jennifer L Hermanson | Physician Assistant | 3831 Piper St, S-450, Anchorage, AK 99508-4680 | 2017-02-15 |
1538607403 | Maria Cristina Murray | Nurse Practitioner | 3831 Piper St, Suite S450, Anchorage, AK 99508-4680 | 2017-02-10 |
1851773469 | Genevieve Corbett | Nurse Practitioner | 3831 Piper St, Suite Sll020, Anchorage, AK 99508-4680 | 2015-06-19 |
1194103689 | Sophie Walsh | Physician Assistant | 3831 Piper St, Ste S450, Anchorage, AK 99508-4680 | 2015-05-15 |
1144651944 | Kacie Tempel | Physician Assistant | 3831 Piper St, Suite S450, Anchorage, AK 99508-4672 | 2013-12-03 |
1578818043 | Allison Mary Lamb | Physical Therapist | 3831 Piper St, Suite 220, Anchorage, AK 99508-4672 | 2012-07-19 |
1265787204 | Shannon Christine Hilton | Nurse Practitioner | 3831 Piper St, Suite S450, Anchorage, AK 99508-4672 | 2012-07-16 |
1154657054 | Darcie K Sorensen | Physician Assistant | 3831 Piper St, Suite S450, Anchorage, AK 99508-4672 | 2009-10-27 |
1497907554 | Candace D Hickel | Physician Assistant | 3831 Piper St, Suite S450, Anchorage, AK 99508-4672 | 2008-10-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
Find all providers in zip 99508 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902834153 | Upshur M Spencer | Orthopaedic Surgery | 3831 Piper St, Suite S-220, Anchorage, AK 99508-4672 | 2006-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437339454 | Brent M. Adcox | Orthopaedic Surgery | 4201 Bartlett St Ste 201, Homer, AK 99603-7015 | 2007-11-07 |
1497002968 | Kenai Spine LLC | Orthopaedic Surgery | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2012-08-14 |
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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.