DR. PETER A KORETSKY


Address: 2955 Pineda Plaza Way Ste 115, Melbourne, FL 32940-7306
Phone: 3212547375

DR. PETER A KORETSKY (NPI# 1467556456) 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) 1467556456
Entity Type Individual
Full Name DR. PETER A KORETSKY
Credential MD
Practice Address 2955 Pineda Plaza Way Ste 115
Melbourne
FL 32940-7306
Practice Telephone 3212547375
Practice Fax Number 3212547145
Mailing Telephone 3212547375
Mailing Fax Number 3212547145
Enumeration Date 2006-09-11
Last Update Date 2018-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
ME53524 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 2955 PINEDA PLAZA WAY STE 115
City MELBOURNE
State FL
Zip Code 32940-7306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891096731 Mary Lou Koretsky Nurse Practitioner 2955 Pineda Plaza Way Ste 115, Melbourne, FL 32940-7306 2010-11-09
1861550964 Jill Larue Polet Nurse Practitioner 2955 Pineda Plaza Way Ste 115, Melbourne, FL 32940-7306 2006-12-04
1124117791 Peter A Koretsky Md Pa Internal Medicine 2955 Pineda Plaza Way Ste 115, Melbourne, FL 32940-7306 2006-10-12

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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700983863 Shireen F Gadallah Internal Medicine 25 Silver Palm Ave, Suite B, Melbourne, FL 32901-3177 2006-09-20
1275519548 Scott Seminer Internal Medicine 1334 Valentine St, Melbourne, FL 32901-3128 2005-12-19
1164406500 Jeremiah Paul Donovan Internal Medicine 6235 Anello Dr, Melbourne, FL 32940 2005-11-30
1922081983 Athan P Kartsonis Internal Medicine 1301 Hickory St, Melbourne, FL 32901-3223 2005-11-23
1861483810 Glenn David Gardner Internal Medicine 1324 Valentine St, Melbourne, FL 32901-3128 2005-10-31
1316937535 Kaseng Derek Chan-pong Internal Medicine 1223 Gateway Dr Ste B, Melbourne, FL 32901-2607 2005-10-27
1114917655 Charles A Farrington Internal Medicine 1223 Gateway Dr Ste 2b, Melbourne, FL 32901-2607 2005-10-26
1700870847 Mark Douglas Hughes Internal Medicine 8725 N Wickham Rd Ste 200, Melbourne, FL 32940-2240 2005-09-06
1033101985 Martin E Avalos Internal Medicine 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-5997 2005-08-17
1235591025 Mark C. Dillon, M.d. Pllc Internal Medicine 3150 N Wickham Rd, Suite 6, Melbourne, FL 32935-2322 2016-03-22
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32940

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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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