DR. PHILLIP ROBERT PETERSON (NPI# 1003137613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003137613 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP ROBERT PETERSON |
| Credential | M.D. |
| Practice Address |
One Hospital Drive Lewisburg PA 17837-9350 |
| Mailing Address |
One Hospital Drive Suite 306 Lewisburg PA 17837-9350 |
| Practice Telephone | 5705222640 |
| Practice Fax Number | 5705224740 |
| Mailing Telephone | 5705224110 |
| Mailing Fax Number | 5707683911 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD447379 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104882596 | Phillip Allen Peterson | Family Medicine | 106 Huffard Dr, Bluefield, VA 24605-9209 | 2006-04-25 |
| 1710928486 | Phillip K Peterson | Internal Medicine | 516 Delaware Street Se, Ump Delaware Street Clinic, Minneapolis, MN 55455 | 2006-06-10 |
| Street Address |
ONE HOSPITAL DRIVE |
| City | LEWISBURG |
| State | PA |
| Zip Code | 17837-9350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922326842 | Julie Marie Charlton | Physical Therapist | One Hospital Drive, Lewisburg, PA 17837 | 2010-05-17 |
| 1477747202 | Lyndell C Wright | Dietitian, Registered | One Hospital Drive, Evangelical Community Hospital, Lewisburg, PA 17837 | 2007-09-05 |
| 1346237427 | Vickie L Varklet | Anesthesiology | One Hospital Drive, Lewisburg, PA 17837-9350 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274245 | Susquehanna Valley Therapy Group, LLC | Counselor | 4552 West Branch Highway, Lewisburg, PA 17837 | 2020-08-06 |
| 1184185910 | Laura Pulaski | Physical Therapy Assistant | 15 Rivercrest Cir, Lewisburg, PA 17837 | 2019-03-26 |
| 1487112892 | Taylor Karin Hendrix | Physical Therapy Assistant | 189 Tressler Dr, Lewisburg, PA 17837 | 2019-03-05 |
| 1902375033 | United States Penitentiary | Pharmacist | 2400 Robert F. Miller Drive, Lewisburg, PA 17837 | 2018-11-19 |
| 1114419710 | Society Hill Dental In Lewisburg | Dentist | 339 Market Street, Lewisburg, PA 17837 | 2018-05-31 |
| 1669919213 | Karen Jean Orchard | Marriage & Family Therapist | 821 Buffalo Road, Lewisburg, PA 17837 | 2017-01-20 |
| 1063892057 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 224 Hardwood Dr, Lewisburg, PA 17837 | 2015-06-04 |
| 1003207853 | Lenora Jeanne Broda | Counselor | 1800 Market St, Diakon Family Life Services, Lewisburg, PA 17837 | 2015-02-16 |
| 1225457401 | Geisinger Clinic | Clinic/Center | 1717 W Market St, Lewisburg, PA 17837 | 2014-04-15 |
| 1982045456 | Abdul Rahim Ali | Counselor | 32 Whisper Creek, Suite 8, Lewisburg, PA 17837 | 2013-07-12 |
| Find all providers in zip 17837 | ||||
| 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 |
|---|---|---|---|---|
| 1760786131 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 1560 Jefferson Street North, Lewisburg, WV 24901-2203 | 2010-12-29 |
| 1558456780 | John Daniel Davis | Emergency Medicine | 4249 New Market Banta Rd, Lewisburg, OH 45338-7745 | 2006-10-04 |
| 1306374616 | John Paul Ford | Emergency Medicine | 400 N Jefferson St, Robert C Byrd Clinic, Lewisburg, WV 24901 | 2017-05-31 |
| 1598292070 | Eliza S Reed | Emergency Medicine | 1 Hospital Dr, Lewisburg, PA 17837-9350 | 2017-05-16 |
| 1780038026 | Seth Benjamin Larson | Emergency Medicine | 400 N Jefferson St, Lewisburg, WV 24901 | 2016-04-22 |
| 1790058683 | William Karle Flatley | Emergency Medicine | 1 Hospital Dr, Hospitalist, Lewisburg, PA 17837-9350 | 2012-02-22 |
| 1245524214 | Brian James Connolly | Emergency Medicine | 1 Hospital Dr, Emergency Department, Lewisburg, PA 17837-9350 | 2011-06-07 |
| 1851572580 | Robert Allan Petrarca | Emergency Medicine | 400 N Jefferson St, Robert C. Byrd Clinic, Lewisburg, WV 24901-1177 | 2007-11-22 |
| 1851441323 | Amy S Wirtner | Emergency Medicine | 1 Hospital Dr, Lewisburg, PA 17837-9350 | 2007-01-10 |
| 1063577377 | Richard Anthony Aballay | Emergency Medicine | 529 W Commerce St, Lewisburg, TN 37091-3219 | 2006-12-27 |
| Find all providers in LEWISBURG | ||||
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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.