Michele Peterman

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S11219305 Issued in OH

Practice address

15 N 3Rd St Ste 300
Newark, OH 43055-5550

Phone

(614) 487-8758

NPI assigned

Jan 9, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Michele Aber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1154719482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 EVANS BLVD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N 3RD ST STE 300",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555550",
            "telephone_number": "614-487-8758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Evans Blvd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551999",
            "country_code": "US",
            "telephone_number": "740-670-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S11219305",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "ABER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Tyler Perichak, O.D, M.S.
• Sydney Perkins
• Katheryn Perse
• Peggy Sue Pesimer
• Emily Pessel
• Avery Lorine Pethtel
• Jeffrey Petrey
• Thomas Petryk, MD
• Mark James Petrykowski, O.D.
• Irina Sergeevna Petty, PA

• Social Worker in Newark, OH
• Providers in Newark, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.