DR. KENDALL K PETERS (NPI# 1710926548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710926548 |
| Entity Type | Individual |
| Full Name | DR. KENDALL K PETERS |
| Credential | MD |
| Practice Address |
801 N Orange Ave Ste 815 Orlando FL 32801-5203 |
| Mailing Address |
2501 N Orange Ave Suite 442 Orlando FL 32804-4603 |
| Practice Telephone | 4078981436 |
| Practice Fax Number | 4078986330 |
| Mailing Telephone | 4078981436 |
| Mailing Fax Number | 4078986330 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME100894 | FL | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 056206 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 789853741 | 05 | |
| FL | BCBS | 32038 | 01 |
| Street Address |
801 N ORANGE AVE STE 815 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32801-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902844038 | Center for Plastic & Reconstructive Surgery A Professional Association | Surgery | 801 N Orange Ave Ste 815, Orlando, FL 32801-5203 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007676 | Darin Counseling, LLC | Counselor | 1309 East Robinson Street, Orlando, FL 32801 | 2019-05-02 |
| 1144787938 | Kathryn Hankins | Physician Assistant | 801 N. Orange Ave., Suite 600, Orlando, FL 32801 | 2019-02-27 |
| 1073078044 | Lillie Albadin | Physician Assistant | 801 N. Orange Ave, Suite 600, Orlando, FL 32801 | 2019-02-04 |
| 1851800874 | Michael Smith | Physician Assistant | 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 | 2017-09-21 |
| 1578082863 | Merito Mifo B. Sabangan | Physical Therapist | 1201 Noble Place, Orlando, FL 32801 | 2017-09-18 |
| 1417475351 | Lyla Shaina Halikman | Behavioral Analyst | 545 Delaney Ave Ste 5, Orlando, FL 32801 | 2017-08-30 |
| 1629520341 | Alexander Raiken | Dentist | 899 N Orange Ave Apt 501, Orlando, FL 32801 | 2016-10-28 |
| 1508286824 | Healthcheck Medical, Inc. | Specialist | 5 East Colonial Drive, Orlando, FL 32801 | 2014-04-25 |
| 1033531546 | Rushin Nalin Patel | Internal Medicine | 150 E Robinson St Unit 3206, Orlando, FL 32801 | 2014-01-17 |
| 1649613571 | Carehere LLC | Family Medicine | 10430 Ray Road, Pontre Vedra, FL 32801 | 2013-04-10 |
| Find all providers in zip 32801 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750752614 | Kamran Azad, Md P.a. | Plastic Surgery | 8202 Bellow St, Orlando, FL 32827-7224 | 2015-10-16 |
| 1013351766 | Plastic Surgery of Central Florida, LLC | Plastic Surgery | 95 West Kaley St, Orlando, FL 32806 | 2013-04-24 |
| 1770719510 | Anup Patel | Plastic Surgery | 801 N. Orange Ave Suite 600, Orlando, FL 32801 | 2009-06-08 |
| 1164649786 | Florencio Jorge Gonzalez | Plastic Surgery | 3100 Clay Ave, Suite # 299, Orlando, FL 32804-4026 | 2007-04-18 |
| 1629194618 | Charles Edwin Newman Jr. | Plastic Surgery | 444 N Mills Ave, Orlando, FL 32803-5736 | 2007-03-21 |
| 1396876371 | Jan Victor Karlin | Plastic Surgery | 7600 Dr Phillips Blvd, Suite 58, Orlando, FL 32819-7231 | 2007-03-08 |
| 1861579146 | Orlando Plastic Surgery Center | Plastic Surgery | 3872 Oakwater Cir, Orlando, FL 32806-6263 | 2006-11-01 |
| 1275920209 | Hz Plastic Surgery LLC | Plastic Surgery | 7575 Dr Phillips Blvd, Suite 10, Orlando, FL 32819-7216 | 2015-04-16 |
| 1790128312 | Fernando Ovalle Jr. | Plastic Surgery | 7652 Ashley Park Ct Ste 305, Orlando, FL 32835-6199 | 2013-04-12 |
| 1033451950 | Kenrick Anthony Spence I | Plastic Surgery | 130 Hillcrest St, Orlando, FL 32801-1210 | 2013-03-18 |
| Find all providers in ORLANDO | ||||
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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.