DR. PETER H KWON (NPI# 1356459929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356459929 |
| Entity Type | Individual |
| Full Name | DR. PETER H KWON |
| Credential | MD |
| Practice Address |
384 Crystal Run Rd Suite 201 Middletown NY 10941-4013 |
| Practice Telephone | 8456928780 |
| Practice Fax Number | 8456923439 |
| Mailing Telephone | 8456928780 |
| Mailing Fax Number | 8456923439 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 216778 | NY | Other Service Providers |
| Y | 208600000X | Surgery | 216778 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619018009 | Peter S Kwon | Dentist | 7970 Old Georgetown Rd, 4-b, Bethesda, MD 20814-2447 | 2007-02-09 |
| 1831544626 | Peter M Kwon | Pharmacist | 210 W 7th St, Los Angeles, CA 90014-1834 | 2016-04-28 |
| 1215049937 | Peter Oh-kyung Kwon | Family Medicine | 2041 Martin Luther King Jr Ave Se, Suite: Ll-2, Washington, DC 20020-7024 | 2006-08-31 |
| 1003840471 | Peter B. Kwon | Internal Medicine | 1275 N Rose Dr, Suite 120, Placentia, CA 92870-3941 | 2006-07-10 |
| 1043217920 | Peter S Kwon | Psychiatry & Neurology | 915 6th Ave, Ste 200, Tacoma, WA 98405-4682 | 2005-07-07 |
| Street Address |
384 CRYSTAL RUN RD SUITE 201 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760456396 | Wayne Mark Weiss | Surgery | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2006-02-13 |
| 1316268899 | Jeanne Karson | Nurse Practitioner | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2010-06-18 |
| 1447573332 | Jeffrey A Braisted | Radiologic Technologist | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2010-03-05 |
| 1801993175 | Tri State Surgical Associates Pllc | Specialist | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2006-09-20 |
| 1598700536 | Kristin L. Allison | Psychiatry & Neurology | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770503633 | Robert G. Kulak | Surgery | 236 Crystal Run Road, Middletown, NY 10941 | 2006-07-20 |
| 1760456396 | Wayne Mark Weiss | Surgery | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4013 | 2006-02-13 |
| 1275523409 | Daniel A Butler | Surgery | 4040 Roosevelt Blvd, Middletown, OH 45044-6619 | 2005-10-27 |
| 1114398203 | Db Md Wcc LLC | Surgery | 1 Medical Center Dr, Middletown, OH 45005-2584 | 2015-10-14 |
| 1255746590 | Diamond State Surgical Associates,llc | Surgery | 124 Sleepy Hollow Dr, Suite 201, Middletown, DE 19709-5838 | 2014-06-25 |
| 1477896553 | Bo-kyu Kim | Surgery | 4040 Roosevelt Blvd, Middletown, OH 45044-6619 | 2013-03-27 |
| 1508139379 | Yuriy Zhurov | Surgery | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2012-02-09 |
| 1861797193 | Moaz Waleed Abulfaraj | Surgery | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2011-01-18 |
| 1083932719 | James Michael Parker | Surgery | 520 Saybrook Rd, Suite 100, Middletown, CT 06457-4700 | 2010-05-05 |
| 1952628778 | Heather Hartman Adkins | Surgery | 4040 Roosevelt Blvd, Middletown, OH 45044-6619 | 2010-05-04 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
Please comment or provide details below to improve the information on DR. PETER H KWON.
| 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.