KENT WRIGHT PETERSON (NPI# 1538254081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538254081 |
| Entity Type | Individual |
| Full Name | KENT WRIGHT PETERSON |
| Credential | M.D. |
| Practice Address |
901 Preston Avenue Suite 400 Charlottesville VA 22903-4491 |
| Practice Telephone | 4349773784 |
| Practice Fax Number | 4349778570 |
| Mailing Telephone | 4349773784 |
| Mailing Fax Number | 4349778570 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316049539 | Kent G. Peterson | Counselor | 1230 S Federal Hwy Ste 101, Boynton Beach, FL 33435-6000 | 2006-09-01 |
| 1669979514 | Kent John Peterson | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-04-08 |
| 1316162647 | Kent Lee Peterson | Podiatrist | 919 12th Pl, Suite 10, Prescott, AZ 86305-1433 | 2007-04-13 |
| 1679542831 | Kent T Peterson | Dentist | 2210 Yale Rd, Lawrence, KS 66049-2647 | 2006-03-17 |
| Street Address |
901 PRESTON AVENUE SUITE 400 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063427722 | Joanne Strade Kittredge | Psychologist | 901 Preston Avenue, Ste 202f, Charlottesville, VA 22903-4491 | 2006-07-30 |
| 1053520833 | Leslie A. Johnson | Counselor | 901 Preston Avenue, Suite 202, Charlottesville, VA 22903 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1033138250 | University of Virginia Physicians Group | Neuromusculoskeletal Medicine & OMM | 4105 Lewis and Clark Dr, Charlottesville, VA 22911-5801 | 2006-07-19 |
| 1851399117 | Peter John Bower | Neuromusculoskeletal Medicine & OMM | 1434 Rolkin Ct, Suite # 201, Charlottesville, VA 22911-3574 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
| 1013303486 | Mukarram Razvi | Neuromusculoskeletal Medicine & OMM | 1999 S Main St Ste 505j, Blacksburg, VA 24060-6601 | 2015-04-12 |
| 1710133228 | Jason A. Sneed | Neuromusculoskeletal Medicine & OMM | 2525 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2008-08-15 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| 1376750646 | Nancy Laura Liles | Neuromusculoskeletal Medicine & OMM | 7455 Mcconnell Rd, Roanoke, VA 24019-3241 | 2007-05-17 |
| 1033232269 | Alina H Tobey | Neuromusculoskeletal Medicine & OMM | 1691 Innovation Dr Ste 2100, Blacksburg, VA 24060-6828 | 2007-04-10 |
| 1588782213 | Michael J Porvaznik | Neuromusculoskeletal Medicine & OMM | 4910 31st St S, Suite A, Arlington, VA 22206-1656 | 2007-03-27 |
| 1396873774 | Janine Marie Talty | Neuromusculoskeletal Medicine & OMM | 2702 Brambleton Ave Sw, Roanoke, VA 24015-4308 | 2007-02-28 |
| 1427106624 | Kevin Andrew Hicks | Neuromusculoskeletal Medicine & OMM | 300a Temple Lake Dr, Suite 1, Colonial Heights, VA 23834-2972 | 2007-01-06 |
| 1043385370 | Harold Kornylak | Neuromusculoskeletal Medicine & OMM | 1432 E Bay Shore Dr, Virginia Beach, VA 23451-3760 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.