DR. ROBERT KAY PETERSON (NPI# 1093717951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093717951 |
| Entity Type | Individual |
| Full Name | DR. ROBERT KAY PETERSON |
| Credential | M.D. |
| Practice Address |
1010 Nut Tree Rd Ste 200 Vacaville CA 95687-4172 |
| Practice Telephone | 7076247900 |
| Practice Fax Number | 7076247901 |
| Mailing Telephone | 7076247900 |
| Mailing Fax Number | 7076247911 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2013-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
G84728 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902206683 | Robert Peterson | Otolaryngology | 3921 E Nora Cir, Mesa, AZ 85215-1077 | 2014-08-29 |
| 1255605911 | Robert Dennis Peterson | Acupuncturist | 1214 S Alma St, #5, San Pedro, CA 90731-3949 | 2012-02-28 |
| 1295006419 | Robert Michael Peterson Jr. | Dentist | 747 W. Devon, Park Ridge, IL 60068 | 2012-01-19 |
| 1871822361 | Robert Curt Peterson | Psychologist | 5041 Warm Springs Rd Ste C, Columbus, GA 31909-6938 | 2009-12-14 |
| 1285849067 | Robert Kenneth Peterson | Licensed Practical Nurse | 5979 Renner Rd, Columbus, OH 43228-9588 | 2007-05-14 |
| 1467581025 | Robert Jason Peterson | Preventive Medicine | 1614 Wrightstown Rd, Newtown, PA 18940-2814 | 2007-03-02 |
| 1437294923 | Robert Schaefer Peterson | Psychologist | 865 Hilltop Road, Erie, PA 16509-2153 | 2007-02-21 |
| 1518010636 | Robert Lee Peterson | Case Manager/Care Coordinator | 915 S Mckinley St, Casper, WY 82601-3440 | 2007-01-19 |
| 1720144876 | Robert Lester Peterson | Family Medicine | 900 Riverside Dr, Suite IIi, Waupaca, WI 54981-1983 | 2006-12-30 |
| 1982768040 | Robert James Peterson | Optometrist | 4306 W Crystal Lk Road, Mchenry, IL 60050-4294 | 2006-12-21 |
| Street Address |
1010 NUT TREE RD STE 200 |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95687-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565698 | Collette Dacruz | Registered Nurse | 1010 Nut Tree Rd, Suite 100b, Vacaville, CA 95687-4172 | 2015-08-03 |
| 1124285150 | Miya E Allen | Internal Medicine | 1010 Nut Tree Rd, Suite 100b, Vacaville, CA 95687-4172 | 2008-05-19 |
| 1386825917 | Hannah Krimins Mertens | Physician Assistant | 1010 Nut Tree Rd, Suite 200, Vacaville, CA 95687-4172 | 2007-11-26 |
| 1073704326 | Gregory Yervant Warner | Internal Medicine | 1010 Nut Tree Rd, Suite 100b, Vacaville, CA 95687-4172 | 2007-08-01 |
| 1699844019 | Melissa Schoenwetter | Internal Medicine | 1010 Nut Tree Rd, Suite 200, Vacaville, CA 95687-4172 | 2006-11-07 |
| 1700983780 | Wayne N Pedersen | Dentist | 1010 Nut Tree Rd, Suite 280, Vacaville, CA 95687-4172 | 2006-09-20 |
| 1194732339 | Thomas Daniel Erskine | Internal Medicine | 1010 Nut Tree Rd, Ste 100, Vacaville, CA 95687-4172 | 2006-08-01 |
| 1992747869 | Mohammed Arif Shaikh | Internal Medicine | 1010 Nut Tree Rd, Suite 100, Vacaville, CA 95687-4172 | 2006-06-12 |
| 1376519561 | Andrew T Brooks | Orthopaedic Surgery | 1010 Nut Tree Rd, Suite 200, Vacaville, CA 95687-4172 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
| 1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
| Find all providers in zip 95687 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
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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.