Donald Peterson (NPI# 1649206558, PAC ID# 9931311230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1649206558 |
| PAC ID by PECOS | 9931311230 |
| Professional Enrollment ID | I20110228000280 |
| Full Name | Donald Peterson |
| Organization Legal Name | D T PETERSON DPM PC |
| Address |
8029 Jericho Tpke Woodbury NY 11797-1212 |
| Phone Number | 5164960900 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7113139411 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8029 Jericho Tpke, Woodbury, NY 11797-1212 | 5164960900 | D T PETERSON DPM PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Organization Legal Name | D T PETERSON DPM PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Owen J Mccrudden | Podiatry | D T Peterson Dpm PC | 8029 Jericho Tpke, Woodbury, NY 11797-1212 |
| Street Address |
8029 JERICHO TPKE |
| City | WOODBURY |
| State | NY |
| Zip | 11797-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Owen J Mccrudden | Podiatry | D T Peterson Dpm PC | 8029 Jericho Tpke, Woodbury, NY 11797-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan O Wheeler | Clinical Social Worker | 35 Stillwell Ln, Woodbury, NY 11797-1103 | |
| James G Wheeler | Psychologist, Clinical | 35 Stillwell Ln, Woodbury, NY 11797-1103 | |
| Neeraj Katriyar | Critical Care (intensivists) | 378 Syosset Woodbury Rd, Woodbury, NY 11797-1200 | |
| Madeleine E Berg | Registered Dietitian Or Nutrition Professional | 26 Winthrop Dr, Woodbury, NY 11797-1315 | |
| Nancy Ivry | Clinical Social Worker | 136 Woodbury Rd, Suite 101c, Woodbury, NY 11797-1411 | |
| Anita Greenhaus | Physical Therapy | Power X Pt PC | 150 Woodbury Rd, 4 Greenhaus Pt, Woodbury, NY 11797-1412 |
| Mona Rajpal | Physical Therapy | Power X Pt PC | 150 Woodbury Rd, 4 Greenhaus Pt, Woodbury, NY 11797-1412 |
| Sally A Graham | Psychologist, Clinical | 144 Woodbury Rd, Suite 16, Woodbury, NY 11797-1418 | |
| Marjorie S Maltin | Psychologist, Clinical | 102 Cypress Dr, Woodbury, NY 11797-1522 | |
| Joshi John | Psychiatry | 8533 Jericho Tpke, Woodbury, NY 11797-1804 | |
| Find all physicians in zip 11797 | |||
| City | WOODBURY |
| Zip Code | 11797 |
| Specialty | PODIATRY |
| City + Specialty | WOODBURY + PODIATRY |
Please comment or provide details below to improve the information on Donald 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.