PATRICIA J. PETERSON (NPI# 1992706436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992706436 |
| Entity Type | Individual |
| Full Name | PATRICIA J. PETERSON |
| Credential | MD |
| Practice Address |
1615 Delaware St Longview WA 98632-2367 |
| Mailing Address |
Po Box 3002 Longview WA 98632-0302 |
| Practice Telephone | 3605013601 |
| Practice Fax Number | 3605013648 |
| Mailing Telephone | 3605013601 |
| Mailing Fax Number | 3605013648 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00017283 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8239071 | 05 | |
| OR | 218636 | 05 | |
| RR MEDICARE | 110194835 | 01 | |
| WA | CRIME VICTIMS | 8923175 | 01 |
| WA | LABOR & IND. | 126459 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1588156103 | Patricia Ann Peterson | Technician | 1240 G St Ne, Washington, DC 20002-4424 | 2018-05-30 |
| 1841587961 | Patricia Ann Peterson | Social Worker | 5905 Sir Henry Rd, Orlando, FL 32808-3323 | 2011-07-10 |
| 1831316397 | Patricia L Peterson | Speech-Language Pathologist | 600 Campus Dr, Wentzville, MO 63385-3433 | 2007-04-19 |
| 1669017315 | Patricia Ann Peterson | Nurse Practitioner | 527 Benham St, Bonne Terre, MO 63628-1205 | 2019-11-15 |
| 1134694250 | Patricia Peterson | Nurse Practitioner | 7836 W Jefferson Blvd Ste 101, Fort Wayne, IN 46804-4178 | 2018-10-04 |
| 1407368582 | Patricia Fay Peterson | Occupational Therapist | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-30 |
| 1255640413 | Patricia B Peterson | Counselor | 1611 116th Ave Ne, Bellevue, WA 98004-3026 | 2010-10-05 |
| 1265746747 | Patricia E Peterson | Counselor | 323 S Minnesota St, Crookston, MN 56716-1601 | 2010-07-27 |
| 1518288661 | Patricia Emmerling Peterson | Specialist/Technologist | 555 Warren Rd, Ithaca, NY 14850-1862 | 2010-06-11 |
| Street Address |
1615 DELAWARE ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264252 | Lan N Pham | Internal Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2005-06-09 |
| 1629681127 | Cole Taylor Dawson | Pharmacist | 1615 Delaware St, Longview, WA 98632-2367 | 2020-08-25 |
| 1760008908 | Tanya Neely | Registered Nurse | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-23 |
| 1376167254 | Gareth John Penta | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-05 |
| 1982227013 | Crystal Ann Florek | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-05-22 |
| 1194356600 | Tiffany Terry | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-02-03 |
| 1285274167 | Jason Loren Whitney | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-01-08 |
| 1851857676 | Garrett Michael Alan Harrison | Case Manager/Care Coordinator | 1615 Delaware St, Longview, WA 98632-2367 | 2019-02-17 |
| 1184192189 | Katie Johnson | Clinical Nurse Specialist | 1615 Delaware St, Longview, WA 98632-2367 | 2018-11-07 |
| 1750864187 | Brina Rayne Moh | Physician Assistant | 1615 Delaware St, Longview, WA 98632-2367 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841843075 | Mhpc Dallas Pllc | Internal Medicine | 3080 N Eastman Rd Ste 101, Longview, TX 75605-7978 | 2019-07-17 |
| 1306210620 | Edward Eugene Smith Md | Internal Medicine | 240 Imperial Dr, Longview, WA 98632-0704 | 2015-11-24 |
| 1972992683 | Sarat Jampana LLC | Internal Medicine | 1202 Secluded Ln, Longview, TX 75604-2859 | 2015-01-19 |
| 1801208673 | Makona Snf, LLC | Internal Medicine | 1016 Riverwood Dr, Longview, TX 75604-6229 | 2014-05-28 |
| 1093145070 | Raj Kumar Akula | Internal Medicine | 1130 E Hawkins Pkwy, Apt 6301, Longview, TX 75605-8002 | 2013-11-12 |
| 1558705814 | Jessica Small Garner | Internal Medicine | 701 E Marshall Ave Ste 200, Longview, TX 75601-5544 | 2013-04-17 |
| 1730453051 | Wendell D. Daniels M.d., P.a. | Internal Medicine | 515 N. 3rd St., Longview, TX 75606 | 2012-03-05 |
| 1467689158 | Helen C Daniel | Internal Medicine | 802 Medical Dr Ste 201, Longview, TX 75605-5202 | 2009-06-19 |
| 1235394487 | Nishit Kumar Srivastava | Internal Medicine | 701 E Marshall Ave Ste 400, Longview, TX 75601-5595 | 2008-07-26 |
| 1649459595 | Sanjay G Reddy | Internal Medicine | 802 Medical Dr Ste 205, Longview, TX 75605-5208 | 2007-10-29 |
| Find all providers in LONGVIEW | ||||
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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.