DR. ALAN CLIFTON PETERSON (NPI# 1992751325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992751325 |
| Entity Type | Individual |
| Full Name | DR. ALAN CLIFTON PETERSON |
| Credential | M.D. |
| Practice Address |
415 6th St Lewiston ID 83501-2431 |
| Practice Telephone | 2087460516 |
| Practice Fax Number | 2087464989 |
| Mailing Telephone | 2087460516 |
| Mailing Fax Number | 2087464989 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD00046440 | WA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
M-9571 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807462200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538282769 | Alan Lee Peterson | Psychologist | 7550 W Ih 10, Suite 1325, San Antonio, TX 78229-5803 | 2007-04-10 |
| 1699713495 | Alan Peterson | Family Medicine | 317 S Chestnut St, Quarryville, PA 17566-1344 | 2006-06-03 |
| 1174975429 | Alan Clark Peterson Sr. | Dentist | 601 Mcdonough Blvd Se, Atlanta, GA 30315-4400 | 2016-07-11 |
| 1265691653 | Alan C Peterson | Anesthesiology | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2008-06-02 |
| 1154484657 | Alan Lee Peterson | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-12-18 |
| 1750443131 | Alan Gunnar Peterson | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-12-14 |
| 1275649683 | Alan Peter Peterson | Pathology | 320 Willow St, Walla Walla, WA 99362 | 2006-08-21 |
| 1720048978 | Alan C Peterson Jr. | Internal Medicine | 1750 Laurel Street, Columbia, SC 29201 | 2006-03-23 |
| 1477555225 | Alan C Peterson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804-4159 | 2005-08-11 |
| Street Address |
415 6TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414595 | William Westel Rowe | Internal Medicine | 415 6th St, Lewiston, ID 83501-2434 | 2005-08-22 |
| 1558995316 | Hospitalist Medicine Physicians of Idaho- Nampa Pllc | Emergency Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2020-03-02 |
| 1003465360 | Kyle James Daly | Nurse Anesthetist, Certified Registered | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-10 |
| 1184273708 | Kevin Dombey | Physician Assistant | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-06 |
| 1952962813 | Andrea Bowen | Social Worker | 415 6th St, Lewiston, ID 83501-2431 | 2019-06-21 |
| 1881167609 | Christie Kytonen | Licensed Practical Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2019-01-03 |
| 1295206134 | Nicholas Tieu | Physician Assistant | 415 6th St, Lewiston, ID 83501-2434 | 2018-12-17 |
| 1932670866 | Jerilyn R Bodey | Nurse Practitioner | 415 6th St, Lewiston, ID 83501 | 2018-12-17 |
| 1154800522 | Joanne Vestal | Pharmacist | 415 6th St, Lewiston, ID 83501-2434 | 2018-08-07 |
| 1174017701 | Samantha Lynn Musser | Registered Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344279 | Paul Samuel Meade | Pathology | Mount St. Mary's Hospital Laboratory, 5300 Military Rd, Lewiston, NY 14092-2061 | 2005-05-24 |
| 1093996365 | Rebecca L. Fulton | Pathology | 415 6th St, Pathologists' Regional Laboratory, Lewiston, ID 83501-2431 | 2007-11-15 |
| 1184792947 | David J Gallick | Pathology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2006-12-01 |
| 1184701609 | Fazlollah Loghmanee | Pathology | 5300 Military Rd, Lewiston, NY 14092-1903 | 2006-11-01 |
| 1487607321 | Central Maine Pathology | Pathology | 300 Main St, Lewiston, ME 04240-7007 | 2006-05-19 |
| 1801860382 | Richard Malone | Pathology | 100 Campus Ave, Lewiston, ME 04240-6040 | 2006-02-14 |
| 1356313845 | Predrag M Latkovich | Pathology | 300 Main St, Lewiston, ME 04240 | 2006-02-07 |
| 1972580850 | Lewiston-auburn Pathology | Pathology | 100 Campus Ave, Lewiston, ME 04240-6040 | 2005-12-30 |
| 1104803246 | Evelina G Amparo | Pathology | 100 Campus Ave, Lewiston, ME 04240 | 2005-12-29 |
| 1891772117 | Morgan Scott Wilson | Pathology | 415 6th St, Lewiston, ID 83501-2431 | 2005-12-28 |
| Find all providers in LEWISTON | ||||
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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.