C M PETERSON LLC


Address: 1328 Fox Acres Dr, Las Vegas, NV 89134-0511
Phone: 7023328353

C M PETERSON LLC (NPI# 1942472303) 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) 1942472303
Entity Type Organization
Organization Name C M PETERSON LLC
Practice Address 1328 Fox Acres Dr
Las Vegas
NV 89134-0511
Practice Telephone 7023328353
Practice Fax Number 7029216828
Mailing Telephone 7023328353
Mailing Fax Number 7029216828
Enumeration Date 2008-03-26
Last Update Date 2008-04-15
Authorized Official Name CHRISTINE M PETERSON (OWNER)
Authorized Official Telephone 7023328353
Authorized Official Credential APN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
APN000830 NV NV Allopathic & Osteopathic Physicians

Office Location

Street Address 1328 FOX ACRES DR
City LAS VEGAS
State NV
Zip Code 89134-0511

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1518247311 Proteus Therapeutic Solutions Inc Counselor 1813 Sierra Oaks Ln, Las Vegas, NV 89134 2011-08-24
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

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NPI Name Taxonomy Address Enumeration
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1467514729 Iyad Houshan, M.d. Professional Corporation Family Medicine 1820 E Warm Springs Rd., Suite 145, Las Vegas, NV 89119 2006-12-14
1235170820 Alvin B Lin Family Medicine 5564 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-3601 2006-06-08
1063482180 Roopa Dani Family Medicine 9280 W Sunset Rd Ste 200, Las Vegas, NV 89148-4861 2006-01-23
1518422583 Homebase Healthcare LLC Family Medicine 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 2019-02-04
1063810935 Michael H. Nguyen Family Medicine 1000 S Rainbow Blvd Ste A, Las Vegas, NV 89145 2014-12-09
1649271560 Margaret Miller Family Medicine 2440 Professional Ct, Suite 110, Las Vegas, NV 89128-0825 2005-08-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477868586 Ca Medical Associates, LLC Family Medicine 5650 Riggins Ct, Suite 201, Reno, NV 89502-6699 2010-08-12
1598762353 Peter A Tran Iv Family Medicine 1776 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89012-5018 2005-07-07
1396309407 Homebase Care Faylona Pllc Family Medicine 850 Mill St Ste 100, Reno, NV 89502-1463 2019-04-24
1093299547 Sharon P Brown Family Medicine 5250 Neil Rd Ste 207, Reno, NV 89502-6556 2018-09-20
1235638800 Pahrump Physical Medicine LLC Family Medicine 1320 E Calvada Blvd, Pahrump, NV 89048-5692 2018-02-08
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1518267301 Carson Tahoe Physician Clinics Family Medicine 925 Ironwood Dr, Suite 2103, Minden, NV 89423-5178 2010-10-26
1609070341 Julie Anne Zacharias-simpson Family Medicine 874 American Pacific Dr, Henderson, NV 89014-8800 2007-06-14
1699809293 Dr Peter Tran Do Lc Family Medicine 1776 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89012-5018 2007-03-15
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Competitor

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City LAS VEGAS
Zip Code 89134

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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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