DR. PETER GREGORY BALTUSNIK (NPI# 1598962193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598962193 |
| Entity Type | Individual |
| Full Name | DR. PETER GREGORY BALTUSNIK |
| Credential | M.D. |
| Practice Address |
117 Hospital Dr Petersburg WV 26847 |
| Mailing Address |
117 Hospital Dr Petersburg WV 26847-9566 |
| Practice Telephone | 3042571026 |
| Mailing Telephone | 3042571026 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 0101267025 | VA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101267025 | VA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 23383 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEA | FB8485042 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Memorial Dr, Luray, VA 228351000 | 5407434561 | 5407439560 |
| Routes 28/55 Hospital Drive, Petersburgh, WV 26847 | 3042572962 | |
| 1 Healthy Way, Berkeley Springs, WV 254117463 | 3042581234 | 3042587422 |
| Street Address |
117 HOSPITAL DR |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763666 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2005-07-12 |
| 1730565128 | Tri-county Emergency Physicians LLC | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2015-08-07 |
| 1316329121 | Grant Memorial Hospital | Internal Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2015-06-29 |
| 1699181859 | Grant Memorial Hospital | Health Educator | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2014-07-09 |
| 1528480712 | National Emergency Services West Virginia Inc | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2014-01-08 |
| 1659711455 | Matthew Shannon Johnson | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2013-06-26 |
| 1598055642 | Sharita Nicolle Johnson | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2011-04-11 |
| 1073786158 | John R Fischer | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2008-04-09 |
| 1265623094 | Grant Memorial Hospital | Pharmacy | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2007-08-07 |
| 1902841539 | Khaled Fathy Said | Emergency Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124421318 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 32 W Washington St, Suite B, Petersburg, VA 23803-4224 | 2014-10-01 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| 1396866448 | Vanessa O Johnson | Family Medicine | 50 Medical Park Blvd, Suite B, Petersburg, VA 23805-9275 | 2007-04-03 |
| 1780700765 | Southside Family Practice P.C. | Family Medicine | 24 S Adams St, Petersburg, VA 23803-4525 | 2007-03-22 |
| 1255401303 | Robert W Vaughan | Family Medicine | 315 Brown St, Petersburg, VA 23803-4232 | 2006-11-08 |
| 1043395668 | Larry Calvin Rogers | Family Medicine | 7 Memorial Drive, Petersburg, WV 26847-0007 | 2006-10-25 |
| 1124055314 | Mark W Puffenberger | Family Medicine | 111 S Grove St Ste 1, Petersburg, WV 26847-1805 | 2006-06-26 |
| 1114995370 | Bonnie Lohrbach | Family Medicine | 541 S Sycamore St, Petersburg, VA 23803-5039 | 2006-03-14 |
| 1760457261 | Amanda L. Meeks | Family Medicine | 1 Centre Dr, Petersburg, IL 62675-9584 | 2006-02-20 |
| 1437122843 | The Petersburg Medical Center | Family Medicine | 103 Fram Street, Petersburg, AK 99833-0589 | 2006-02-08 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
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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.