MR. JAMIE DUANE PETERSON (NPI# 1942393772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942393772 |
| Entity Type | Individual |
| Full Name | MR. JAMIE DUANE PETERSON |
| Credential | PA-C |
| Practice Address |
927 S Carmel St Cadillac MI 49601-2547 |
| Mailing Address |
3799 Momentum Pl Chicago IL 60689-5337 |
| Practice Telephone | 2318763876 |
| Practice Fax Number | 2317751115 |
| Mailing Telephone | 2318773876 |
| Mailing Fax Number | 2317751115 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006140 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649752015 | Jamie Peterson | Counselor | 3 Washington Circle Nw, Suite 406, Washington, DC 20037 | 2018-09-03 |
| 1376998427 | Jamie Lyn Peterson | Counselor | 195 Anselmo Dr, Reno, NV 89523-8989 | 2016-04-26 |
| 1487078911 | Jamie Brooke Peterson | Physician Assistant | 101 E Mount Royal Ave, Apt 301, Baltimore, MD 21202-2757 | 2014-02-04 |
| 1407107931 | Jamie D Peterson | Specialist/Technologist, Other | 1604 Visa Dr Ste 2, Normal, IL 61761-2195 | 2012-09-24 |
| 1831256577 | Jamie Peterson | Social Worker | 1660 W Linne Rd, Ste J, Tracy, CA 95377-8024 | 2007-01-02 |
| 1821638248 | Jamie Peterson | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-01-14 |
| 1164065769 | Jamie Peterson | Massage Therapist | 1107 7th St, Oregon City, OR 97045-2407 | 2019-10-26 |
| 1457824245 | Jamie Lyn Peterson | Counselor | 70 Jewett Pkwy, Buffalo, NY 14214-2322 | 2019-01-04 |
| 1124500061 | Jamie Anne Peterson | Speech-Language Pathologist | 3000 Schoolview Rd, Eden, NY 14057-1117 | 2018-09-06 |
| 1366811739 | Jamie Peterson | Registered Nurse | 286 S 16th St, Grover Beach, CA 93433-2245 | 2015-09-16 |
| Street Address |
927 S CARMEL ST |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834898 | Louis Charles Tegtmeyer | Surgery | 927 S Carmel St, Cadillac, MI 49601-2547 | 2006-01-05 |
| 1336547041 | Munson Healthcare Cadillac | Surgery | 927 S Carmel St, Cadillac, MI 49601-2547 | 2014-12-11 |
| 1174886279 | David Jonathan Hobbs | Surgery | 927 S Carmel St, Cadillac, MI 49601-2547 | 2012-06-22 |
| 1063707263 | Christin F Johnson | Nurse Practitioner | 927 S Carmel St, Cadillac, MI 49601-2547 | 2011-06-15 |
| 1366762569 | Mercy Surgical Care | Surgery | 927 S Carmel St, Cadillac, MI 49601-2547 | 2010-06-10 |
| 1164550372 | Kent Calvin Bowden | Surgery | 927 S Carmel St, Cadillac, MI 49601 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
| Find all providers in zip 49601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497840938 | Frederick Jason Kaspriak | Physician Assistant | 8872 Professional Drive Ste B, Cadillac, MI 49601 | 2006-10-03 |
| 1790153864 | David Kenney | Physician Assistant | 400 Hobart St, Cadillac, MI 49601-2331 | 2015-09-08 |
| 1962818393 | Soomin Han | Physician Assistant | 520 Cobb St, Cadillac, MI 49601-2588 | 2014-07-07 |
| 1386984920 | Scott Philburn | Physician Assistant | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2013-02-19 |
| 1881986222 | Ryan Andrew Straight | Physician Assistant | 8950 Professional Dr, Cadillac, MI 49601-8599 | 2011-05-04 |
| 1306093935 | Lisa Ann Buckley | Physician Assistant | 400 Hobart St, Cadillac, MI 49601-2331 | 2008-08-26 |
| 1679758080 | David H Adams | Physician Assistant | 302 Hobart St, Cadillac, MI 49601-2379 | 2008-01-03 |
| 1548453681 | Jonathon Eugene Borton | Physician Assistant | 520 Cobb St, Cadillac, MI 49601-2588 | 2007-08-22 |
| 1568541944 | Holly Kay Paris | Physician Assistant | 440 Cobb St, Cadillac, MI 49601 | 2006-11-04 |
| 1356437263 | Sarah A Smoes | Physician Assistant | 302 Hobart St, Cadillac, MI 49601-2379 | 2006-10-05 |
| Find all providers in CADILLAC | ||||
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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.