DR. LESLIE MICHAEL PETERSON (NPI# 1730341264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730341264 |
| Entity Type | Individual |
| Full Name | DR. LESLIE MICHAEL PETERSON |
| Credential | D.O. |
| Practice Address |
501 Morris St Fl 5 Charleston WV 25301-1326 |
| Practice Telephone | 3043887170 |
| Practice Fax Number | 3043881858 |
| Mailing Telephone | 3043887170 |
| Mailing Fax Number | 3043881858 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2410 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1730341264 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205142759 | Leslie A Peterson | Pharmacist | 2829 Bird Ave, Suite#5pmb282, Miami, FL 33133-4607 | 2010-08-22 |
| 1942404363 | Leslie Peterson | Social Worker | 3142 Vista Way Ste 207, Oceanside, CA 92056-3628 | 2007-06-11 |
| 1235211202 | Leslie Peterson | Naturopath | 5107 S 900 E Ste 140, Murray, UT 84117-6630 | 2006-10-19 |
| 1306854260 | Leslie Peterson | Counselor | 2120 S Rural Rd, Ste 6, Tempe, AZ 85282-1400 | 2006-08-04 |
| 1891155636 | Leslie Ellen Peterson | Nurse Practitioner | 5001 W Broad St, Richmond, VA 23230-3005 | 2016-03-04 |
| 1932519519 | Leslie Peterson | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2014-05-05 |
| 1639458649 | Leslie Peterson | Occupational Therapist | 4560 South Blvd, Virginia Beach, VA 23452-1160 | 2011-08-08 |
| 1710115506 | Leslie Ellen Peterson | Nurse Practitioner | 5681 Highway 363, Mantachie, MS 38855-7197 | 2009-06-30 |
| Street Address |
501 MORRIS ST FL 5 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497168595 | Santosh Nagaraju | Transplant Surgery | 501 Morris St Fl 5, Charleston, WV 25301-1326 | 2014-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628898 | Gary L. Rose | Emergency Medicine | 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407-3815 | 2020-08-05 |
| 1962061747 | Nathan Barr | Emergency Medicine | Musc Emergency Department 171 Ashley Ave, Charleston, SC 29425-0001 | 2019-06-06 |
| 1629561089 | John Brenton Bushkar | Emergency Medicine | 169 Ashley Ave Rm Nt265, Charleston, SC 29425 | 2018-06-11 |
| 1306201215 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 301 R H L Blvd Ste 3, Charleston, WV 25309-8275 | 2015-12-18 |
| 1356737738 | Sabrina Pope | Emergency Medicine | 316 Calhoun St., Charleston, SC 29401-1113 | 2015-04-12 |
| 1417397902 | Jason J Crumpler | Emergency Medicine | 169 Ashley Ave # Msc300, Charleston, SC 29425-8905 | 2013-06-27 |
| 1972866168 | Rachel A Scott | Emergency Medicine | Musc Division of Emergency Medicine, 169 Ashley Avenue, Msc 300, Charleston, SC 29425-0001 | 2012-06-21 |
| 1942437843 | Harvey Dean West | Emergency Medicine | 3131 Conservancy Ln, Charleston, SC 29414-8111 | 2009-06-18 |
| 1033371117 | Patrick Gene Shen | Emergency Medicine | 9330 Medical Center Plaza Dr, Charleston, SC 29406-9195 | 2008-06-30 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
Please comment or provide details below to improve the information on DR. LESLIE MICHAEL PETERSON.
| 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.