DR. KEVIN CONRAD PELLETIER (NPI# 1518354554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518354554 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CONRAD PELLETIER |
| Credential | M.D. |
| Practice Address |
3421 Villa Ln Ste 2b Napa CA 94558-3060 |
| Mailing Address |
3010 Beard Rd Napa CA 94558-3442 |
| Practice Telephone | 7072555454 |
| Practice Fax Number | 7072555411 |
| Mailing Telephone | 7072558825 |
| Mailing Fax Number | 7072559325 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | A148657 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8700 Beverly Blvd, West Hollywood, CA 900481804 | 3104233277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362632 | Kevin Anthony Pelletier | Student in an Organized Health Care Education/Training Program | 132 Cyran St, Chicopee, MA 01020-2289 | 2019-12-03 |
| 1811369333 | Kevin Pelletier | Social Worker | 98 Lincoln St, Framingham, MA 01702-6354 | 2015-10-23 |
| 1164834412 | Kevin Pelletier | Physical Therapy Assistant | 9 Elmwood Ct, Newington, CT 06111-1401 | 2014-05-21 |
| Street Address |
3421 VILLA LN STE 2B |
| City | NAPA |
| State | CA |
| Zip Code | 94558-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225221864 | Tracy B Hoeg | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2007-08-27 |
| 1861847527 | Wesley Miller | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2016-05-02 |
| 1942602743 | Michael John Lersten | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2014-09-23 |
| 1366856734 | Lewis Brian Barnett | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2014-06-13 |
| 1306257621 | Matt Henry Gnirke | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558 | 2014-05-09 |
| 1013328293 | Matthew Wayne Oglesby | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2014-05-09 |
| 1194163188 | David Suarez | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2013-06-12 |
| 1285077255 | Jameel John Khan | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2013-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542319 | Napa Solano Plastic Surgery. Inc. | Plastic Surgery | 1175 Trancas Street, Napa, CA 94558 | 2019-08-02 |
| 1891357851 | Guadalupe Barboza | Student in an Organized Health Care Education/Training Program | 2751 Napa Valley Corporate Drive, Building A, Mental Health Division, Napa, CA 94558 | 2019-06-30 |
| 1285154591 | Jacey J Castillo | Rehabilitation Practitioner | 2751 Napa Valley Corporate Dr. Bldg B, Napa, CA 94558 | 2017-06-27 |
| 1811447766 | Caitlin Ford | Massage Therapist | 2441 W Imola Ave, Napa, CA 94558 | 2016-10-04 |
| 1700252384 | Azucena Cortez | Student in an Organized Health Care Education/Training Program | 3450 Villa Ln. #3, Napa, CA 94558 | 2015-08-18 |
| 1982089603 | Vnessa Rotolo | Counselor | 2100 Napa Valley Hwy, Bldg 253 M1 & M2, Napa, CA 94558 | 2015-07-23 |
| 1346657772 | Catherine Gordon | Marriage & Family Therapist | 1001 Second Street, Suite 355, Napa, CA 94558 | 2014-07-17 |
| 1811308968 | Jordan A. Lamberton D.d.s., Inc. | Durable Medical Equipment & Medical Supplies | 3270 Beard Rd., Napa, CA 94558 | 2014-05-12 |
| 1801223797 | Ole Health | Clinic/Center | 780 Lincoln Ave, Napa, CA 94558 | 2013-10-09 |
| 1255766614 | Eldonna May Christie | Obstetrics & Gynecology | 3160 Mt. Veeder Rd., Napa, CA 94558 | 2013-09-04 |
| Find all providers in zip 94558 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922275411 | Jacqueline Soicher Weisbein | Physical Medicine & Rehabilitation | 3273 Claremont Way Ste 100, Napa, CA 94558-3328 | 2008-05-13 |
| 1225221864 | Tracy B Hoeg | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2007-08-27 |
| 1134294184 | Brian James Curtis | Physical Medicine & Rehabilitation | 1500 First Street, Napa, CA 94559 | 2006-11-22 |
| 1134657059 | Allan Interino Famularcano | Physical Medicine & Rehabilitation | 1800 Atrium Pkwy, Napa, CA 94559-4837 | 2017-05-24 |
| 1861847527 | Wesley Miller | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2016-05-02 |
| 1942602743 | Michael John Lersten | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2014-09-23 |
| 1366856734 | Lewis Brian Barnett | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2014-06-13 |
| 1306257621 | Matt Henry Gnirke | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558 | 2014-05-09 |
| 1013328293 | Matthew Wayne Oglesby | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2014-05-09 |
| 1194163188 | David Suarez | Physical Medicine & Rehabilitation | 3421 Villa Ln Ste 2b, Napa, CA 94558-3060 | 2013-06-12 |
| Find all providers in NAPA | ||||
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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.