KEVIN PETERSON (NPI# 1790225662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790225662 |
Entity Type | Individual |
Full Name | KEVIN PETERSON |
Credential | DO |
Practice Address |
3551 Rodger Brooke Dr Anesthesia Residency Jbsa-fort Sam Houston TX 78234-4504 |
Practice Telephone | 2109168666 |
Practice Fax Number | 2109168712 |
Mailing Telephone | 2109168666 |
Enumeration Date | 2017-02-27 |
Last Update Date | 2019-02-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | S0534 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407499957 | Kevin Michael Peterson | Dentist | 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 | 2019-10-28 |
1174712434 | Kevin Richard Peterson | Pharmacist | 2324 S 156th Cir, Omaha, NE 68130-2511 | 2007-10-23 |
1053527895 | Kevin Howard Peterson | Psychologist | 31 Baltimore St, Suite 103, Cumberland, MD 21502-3024 | 2007-05-16 |
1558327064 | Kevin P Peterson | Family Medicine | 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, Minneapolis, MN 55106 | 2006-04-24 |
1154972180 | Kevin Peterson | Nurse Anesthetist, Certified Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2019-09-20 |
1811543895 | Kevin Nicholas Peterson | Physical Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2019-08-14 |
1215412317 | Kevin Bradley Peterson | Audiologist | 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 | 2018-09-25 |
1215466321 | Kevin George Peterson | Physical Therapist | 898 Hampton Rd, Mcdonough, GA 30253-6514 | 2017-06-12 |
1538533393 | Kevin Peterson | Massage Therapist | 3005 86th St, Urbandale, IA 50322-4001 | 2015-11-17 |
1669633343 | Kevin W. Peterson | Pediatrics | 307 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2008-06-24 |
Street Address |
3551 RODGER BROOKE DR ANESTHESIA RESIDENCY |
City | JBSA-FORT SAM HOUSTON |
State | TX |
Zip Code | 78234-4504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
Find all providers in zip 78234 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528565272 | Leilani Holbrook | General Practice | San Antonio Military Medical Center, Mche-zpl-a, Pathology Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234-4504 | 2018-04-10 |
1417453556 | Hannah Ruth Rose | General Practice | Sammc, Mche-zpla, Pathology Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234 | 2018-04-05 |
1346746914 | Rocky Fox | General Practice | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234-4504 | 2018-04-03 |
1184129116 | Erin Swan | General Practice | San Antonio Military Center, Mche-zso, Orthopaedic Res, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234-4504 | 2018-03-30 |
1285138214 | Lisa Claire Townsend | General Practice | Sammc, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234-4504 | 2018-03-23 |
1861996670 | Cynthia Renee Sacco | General Practice | San Antonio Military Medical Center, Mche-zsg Residency, 3551 Roger Brooke Drive, Jbsa-fort Sam Houston, TX 78234-4504 | 2018-03-19 |
1841792405 | Robert Thomas Powers | General Practice | Sammc, Mche-zso, Orthopaedic Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234 | 2018-02-28 |
1912431172 | Cyrus Veryl Edelson | General Practice | 3551 Roger Brooke Dr. Internal Medicine Residency, San Antonio Military Medical Center, Mche-zdm-m, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-04-14 |
1275073561 | Jamie Geringer | General Practice | 3551 Roger Brooke Dr., Internal Medicine Residency, San Antonio Military Medical Center, Mche-zdm-m, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-03-06 |
1255745691 | Jason M Zack | General Practice | 2551 Roger Brooke Dr, Brooke Army Medical Ctr, Mche-20m-d, Jbsa-fort Sam Houston, TX 78234-6200 | 2014-06-13 |
Find all providers in JBSA-FORT SAM HOUSTON |
City | JBSA-FORT SAM HOUSTON |
Zip Code | 78234 |
Please comment or provide details below to improve the information on KEVIN 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.