Andrea Marie Peterson
Mrs. Andrea Marie Oman · Pediatrics

Address: 1917 Lakeshore Dr, Modesto, CA 95355-1869
Phone: 2094042765

Andrea Marie Peterson (NPI# 1922569698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1922569698
Entity Type Individual
Full Name Andrea Marie Peterson
Other Name Mrs. Andrea Marie Oman
Credential R.N.
Gender Female
Practice Address 1917 Lakeshore Dr
CA 95355-1869
Practice Telephone 2094042765
Mailing Address 1917 Lakeshore Dr
CA 95355-1869
Mailing Telephone 2094042765
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-03-26
Last Update Date 2019-03-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208000000X Pediatrics Allopathic & Osteopathic Physicians 789792 CA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1154689412 Andrea Lyn Peterson Occupational Therapy Assistant 3452 Hickory Ln, Deer Park, TX 77536-5051 2012-04-24
1740812858 Andrea Peterson Psychologist 430 E Shirley Ave, Warrenton, VA 20186-3725 2020-02-06
1063876019 Andrea Michelle Peterson Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd, Dallas, TX 75390-9032 2016-04-06
1609146570 Andrea Peterson Marriage & Family Therapist 2378 Maritime Dr Ste 100, Elk Grove, CA 95758-3641 2012-01-09
1770731473 Andrea B Peterson Nurse Practitioner 737 Broadway, Fargo, ND 58122-0001 2008-09-05
1942324876 Andrea M.h. Peterson Social Worker 1127 N Oakley Blvd, 3rd Floor, Chicago, IL 60622-3507 2007-03-17
1801904776 Andrea T Peterson Physical Medicine & Rehabilitation 1000 N Oak Ave, Marshfield, WI 54449-5777 2006-08-29
1245200187 Andrea A Peterson Family Medicine 24 Stevens St, Norwalk, CT 06850-3852 2006-01-24

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. American Osteopathic Board of Pediatrics, 2007.
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679025837 Marcella Murphy Pediatrics 2904 Century Pl, Modesto, CA 95355-8736 2016-11-03
1619008661 Mohammad Javaid Bhatti Pediatrics 1325 Blakely Ln, Modesto, CA 95356-8984 2007-03-08
1528103330 Pamela A Zachar Pediatrics Doctors Medical Center, 1441 Florida Avenue, Modesto, CA 95350 2007-02-20
1972642239 Javier Valero Fonseca Pediatrics 1524 Mchenry Ave Ste 570, Modesto, CA 95350-4574 2007-02-05
1285729830 Rosy Shah Pediatrics 700 17th Street, Modesto, CA 95354 2006-10-03
1518991983 Armand Richaud Hernandez Pediatrics 1329 Spanos Ct Ste C4, Modesto, CA 95355-2806 2006-07-10
1982660122 Yvonne J Brouard Pediatrics 1144 Coffee Rd, Modesto, CA 95355-4205 2006-04-25
1679555213 Antonio E. Apellanes Pediatrics 2101 Tenaya Dr, Modesto, CA 95354-3930 2005-11-18
1588646004 Anuradha Dubey Pediatrics 4312 Spyres Way, Modesto, CA 95356-9259 2005-11-18
1962499475 S Rush Bailey Pediatrics 4120 Prescott Rd, Modesto, CA 95356-8418 2005-09-29
Find all providers in MODESTO

Office Location

Street Address 1917 LAKESHORE DR
State CA
Zip Code 95355-1869

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavior Analyst 3425 Coffee Rd Ste C2, Modesto, CA 95355 2018-01-05
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
1366839755 Hillock Family Dental Inc. Dentist 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 2015-04-23
1306230248 Daniel James Davenport Physical Therapist 1917 Coffee Rd., Modesto, CA 95355 2015-03-27
1154729853 Jennifer Camacho Physical Therapist 2200 Coffee Rd., Greenbriar Apartment No. 10, Modesto, CA 95355 2014-12-11
Find all providers in zip 95355


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Zip Code 95355

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Dataset Information

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.

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