STACY PETERSON (NPI# 1952416489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952416489 |
Entity Type | Individual |
Full Name | STACY PETERSON |
Credential | D.O. |
Practice Address |
1997 Miamisburg Centerville Rd Dayton OH 45459-3811 |
Mailing Address |
6400 Atlantic Blvd Jacksonville FL 32211-8768 |
Practice Telephone | 8005141494 |
Mailing Telephone | 8666385931 |
Mailing Fax Number | 9048051456 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 34007398 | OH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992259519 | Stacy Peterson | Counselor | 2 5th St N Ste 202, Great Falls, MT 59401-4011 | 2016-08-11 |
1518234913 | Stacy Elizabeth Peterson | Speech-Language Pathologist | 1004 Inwood Dr, Hurst, TX 76053-4129 | 2011-11-29 |
1922522838 | Stacy Peterson | Social Worker | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2017-08-01 |
1730627571 | Stacy Peterson | Behavior Technician | 355 Citrus Tower Blvd, Suite 116, Clermont, FL 34711-6501 | 2017-02-01 |
1295167922 | Stacy Lashunn Peterson | Counselor | 501 W Columbus St, Bakersfield, CA 93301 | 2013-08-05 |
1821314774 | Stacy M. Peterson | Social Worker | 405 Clement St, Suite #2, San Francisco, CA 94118-2317 | 2010-04-18 |
1942460563 | Stacy Peterson | Developmental Therapist | 8615 Crawford Ave, Skokie, IL 60076-2125 | 2008-06-17 |
1356515704 | Stacy Peterson | Anesthesiology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2008-04-16 |
1316030638 | Stacy L Peterson | Surgery | 818 N Emporia St, Suite 305, Wichita, KS 67214-3729 | 2006-09-30 |
Street Address |
1997 MIAMISBURG CENTERVILLE RD |
City | DAYTON |
State | OH |
Zip Code | 45459-3811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568437580 | Robert P Szewczyk | Nurse Anesthetist, Certified Registered | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-02-22 |
1750910998 | Michelle Ann Cornwell | Pharmacist | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2020-04-08 |
1245889088 | Rachel Allen | Pharmacist | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2019-09-04 |
1891035325 | Janhvi Sookram | Obstetrics & Gynecology | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2013-02-20 |
1912117771 | Lynne Diane Schwaberow | Registered Nurse | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2007-05-23 |
1811107675 | Frankie Sue Campbell | Registered Nurse | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2007-05-23 |
1891816922 | Southview Hospital Pharmacy | General Acute Care Hospital | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2007-04-03 |
1033296827 | Roberta Elizabeth Galford | Anesthesiology | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-11-01 |
1043326580 | Jason Tackett | Emergency Medicine | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-08-21 |
1649383639 | Maureen K Leist | Anesthesiology | 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 2006-08-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
Find all providers in zip 45459 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275875437 | Stephanie I Haddad | Emergency Medicine | 10 Julia Way, Dayton, NJ 08810-1308 | 2013-03-26 |
1679702294 | Leslie Rae Dye | Emergency Medicine | 601 South Edwin C Moses Rd, Dayton, OH 45417-3424 | 2009-07-02 |
1215080049 | Charles Mcintosh | Emergency Medicine | 405 W. Grand Avenue, Dayton, OH 45405-4796 | 2007-01-18 |
1134210347 | Bryan T. Fitzgerald | Emergency Medicine | 5664 Stone Lake Dr, Dayton, OH 45429-6001 | 2006-09-27 |
1558851568 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 405 W Grand Ave, Dayton, OH 45405-7538 | 2018-05-15 |
1710410998 | Justin Jefferey Lake | Emergency Medicine | 405 W Grand Ave, Dayton, OH 45405-7538 | 2017-04-05 |
1053843870 | Vincent Christopher Marsh | Emergency Medicine | 1 Wyoming St, Dayton, OH 45409-2722 | 2017-03-30 |
1215390455 | Bonnie Marmora | Emergency Medicine | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2016-04-04 |
1952780322 | Adam Wiercinski | Emergency Medicine | 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 | 2015-05-19 |
1477931871 | Keri Alison Childers | Emergency Medicine | 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 | 2015-05-18 |
Find all providers in DAYTON |
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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.