Matthew C Peterson (NPI# 1083840664, PAC ID# 1850547142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1083840664 |
| PAC ID by PECOS | 1850547142 |
| Professional Enrollment ID | I20120801000576 |
| Full Name | Matthew C Peterson |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
1151 Silver Lake Rd Nw New Brighton MN 55112-6324 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 2009 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240078 | FAIRVIEW SOUTHDALE HOSPITAL |
| 240207 | FAIRVIEW RIDGES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14101 Fairview Dr, Burnsville, MN 55337-2537 | FAIRVIEW HEALTH SERVICES | |
| 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 9528922000 | FAIRVIEW CLINICS |
| 1440 Duckwood Dr, Eagan, MN 55122-1451 | 6514068860 | FAIRVIEW CLINICS |
| 6401 France Ave S, Edina, MN 55435-2104 | 9529245000 | FAIRVIEW CLINICS |
| 6545 France Ave S, Suite 150, Edina, MN 55435-2180 | 9528485600 | FAIRVIEW HEALTH SERVICES |
| 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | FAIRVIEW HEALTH SERVICES | |
| 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 | FAIRVIEW CLINICS | |
| 2155 Ford Pkwy, Saint Paul, MN 55116-1862 | FAIRVIEW HEALTH SERVICES |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
1151 SILVER LAKE RD NW |
| City | NEW BRIGHTON |
| State | MN |
| Zip | 55112-6324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey K Locken | Physician Assistant | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Janet L Quarshie | Nurse Practitioner | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Steven K Gilles | Physician Assistant | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Jeffrey A Hanson | Family Medicine | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Amanda E Olson | Obstetrics/gynecology | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Hellina T Dessie | Family Medicine | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Rahel Rothschild | Obstetrics/gynecology | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Lona G Caires | Family Medicine | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol O Lascotte | Chiropractic | 5372 Edgewood Dr, Mounds View, MN 55112-1402 | |
| Gregory B Belting | Chiropractic | 5372 Edgewood Dr, Saint Paul, MN 55112-1402 | |
| Nathan T Hockert | Physician Assistant | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Bethany Gavic | Clinical Social Worker | Nystrom and Associates, Ltd | 1900 Silver Lake Nwrd, Suite 110, New Brighton, MN 55112-1789 |
| Sheeba Rahman | Psychiatry | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Amanda C Drewek | Physician Assistant | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Kathleen A Spiry | Clinical Social Worker | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Lauren N Uslinov | Psychiatry | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Sarah G Hanson | Clinical Social Worker | Family Support Services Inc | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Sarah Gross | Clinical Social Worker | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
| Find all physicians in zip 55112 | |||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
| Specialty | PODIATRY |
| City + Specialty | NEW BRIGHTON + PODIATRY |
Please comment or provide details below to improve the information on Matthew C Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.