DR. KEVIN THOMAS PETERSEN


Address: 620 John Paul Jones Cir Dept General, Portsmouth, VA 23708-2197
Phone: 7579532544

DR. KEVIN THOMAS PETERSEN (NPI# 1356778419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356778419
Entity Type Individual
Full Name DR. KEVIN THOMAS PETERSEN
Credential D.O.
Practice Address 620 John Paul Jones Cir Dept General
Portsmouth
VA 23708-2197
Practice Telephone 7579532544
Enumeration Date 2013-10-03
Last Update Date 2019-09-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 294233 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
703 Main St, Paterson, NJ 075032621 9737542671

Other Providers KEVIN PETERSEN

NPI Name Taxonomy Address Enumeration
1457655680 Kevin W Petersen Marriage & Family Therapist 1420 S Clarkson St, Denver, CO 80210-2237 2011-01-03
1255861126 Kevin Scott Petersen Physical Therapist 3160 8th St Sw Ste M&n, Altoona, IA 50009-1023 2017-06-14
1356676290 Kevin Leon Petersen Psychologist 6439 Garners Ferry Road, Wjbd Va Medical Center, Columbia, SC 29209 2009-10-09
1578759270 Kevin Lee Petersen Counselor 401 16th St Se, Rochester, MN 55904-7973 2007-09-18
1851414346 Kevin E. Petersen Chiropractor 29 Lake St S, Big Lake, MN 55309-4588 2007-04-09
1205971066 Kevin Petersen Specialist 653 N Town Center Dr, Las Vegas, NV 89144-0514 2007-02-20

Office Location

Street Address 620 JOHN PAUL JONES CIR DEPT GENERAL
City PORTSMOUTH
State VA
Zip Code 23708-2197

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932724754 William Dowling Student in an Organized Health Care Education/Training Program 260 John Paul Jones Circle, Fpo, AA 23708 2020-06-09
1760003156 Kylie Miller Student in an Organized Health Care Education/Training Program 600 John Paul Jones Circle, Portsmouth, VA 23708 2020-04-27
1750900304 Jonathan David Hickman Student in an Organized Health Care Education/Training Program Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 2020-04-14
1447716550 Nathan Le Holterman Student in an Organized Health Care Education/Training Program Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 2019-02-13
1467930545 Jonathan Volland Dentist Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 2018-08-01
1629570171 Brendan James O'shea Student in an Organized Health Care Education/Training Program 690 John Paul Jones Circle, Fpo, AA 23708 2018-03-01
1467909077 Patricia Hicks Smith Nurse Practitioner 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-09-01
1790139392 Lauren Pitters Student in an Organized Health Care Education/Training Program 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-04-20
1841683745 Karrie Anne Brondell Walker Student in an Organized Health Care Education/Training Program 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2015-03-17
1962821967 Jody Manners Psychiatry & Neurology 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 2014-04-08
Find all providers in zip 23708

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811308257 Samuel L Douglas Surgery 620 John Paul Jones Cir Bldg 2, 2nd Floor, Unit C, Portsmouth, VA 23708-2111 2014-05-19
1457618183 Lauren Thompson Surgery 155 Borthwick Ave Ste 301e, Portsmouth, NH 03801-7156 2012-04-19
1457642340 Arthur T Johnson Iv Surgery 4633 Mallard Cres, Portsmouth, VA 23703-2240 2011-04-26
1447319348 Henry Emerson Butler IIi Surgery 533 Elizabeth Pl, Portsmouth, VA 23704-2408 2006-12-06
1215940481 Reymond Guzman Pascual Surgery 704 London Blvd., Portsmouth, VA 23704 2006-08-15
1033142021 Joseph J Lach Surgery 1711 27th Street, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-0000 2006-07-10
1942299565 Jeffery E Parker Surgery 1711 27th St Ste 402, Portsmouth, OH 45662-2669 2005-10-17
1306838719 Thomas L Khoury Surgery 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-2638 2005-08-22
1336147719 Jeffrey Lynn Riblet Surgery 3640 High St, Suite 2f, Portsmouth, VA 23707-3213 2005-07-11
1023014487 Bernard J Benedetto Surgery 330 Borthwick Ave Ste 308, Portsmouth, NH 03801-7112 2005-06-21
Find all providers in PORTSMOUTH

Competitor

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City PORTSMOUTH
Zip Code 23708

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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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