BLAKE PETERSON (NPI# 1023379849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023379849 |
| Entity Type | Individual |
| Full Name | BLAKE PETERSON |
| Credential | MD |
| Practice Address |
2445 Army Navy Dr Arlington VA 22206-2905 |
| Mailing Address |
1100 Virginia Ave Columbia MO 65212-0001 |
| Practice Telephone | 7038926500 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2012015918 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2501 Parkers Ln # 200, Alexandria, VA 223063209 | 7038926500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689027054 | Blake Peterson | Podiatrist | 8130 Hawthorn, Temple, TX 76502 | 2016-07-20 |
| 1942200159 | Blake Allen Peterson | Optometrist | 2020 Keith St Nw, Cleveland, TN 37311-1351 | 2005-07-29 |
| 1962965855 | Blake Peterson | Chiropractor | 1878 W 3600 S, West Valley City, UT 84119-3893 | 2019-04-09 |
| 1821506601 | Blake Richard Peterson | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2018-01-16 |
| 1043561343 | Blake T Peterson | Nurse Anesthetist, Certified Registered | 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 | 2012-09-26 |
| Street Address |
2445 ARMY NAVY DR |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22206-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871570051 | Renal Carepartners of Arlington-alexandria, LLC | Clinic/Center | 2445 Army Navy Dr, 2nd Floor, Arlington, VA 22206-2905 | 2005-12-28 |
| 1306494190 | Martelle Simpson | Physician Assistant | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2019-08-27 |
| 1568996387 | Marcella Elizabeth Roach | Physician Assistant | 2445 Army Navy Dr, Arlington, VA 22206 | 2017-04-18 |
| 1801320908 | Lauren Hafley | Specialist/Technologist | 2445 Army Navy Dr, Arlington, VA 22206-2988 | 2017-04-14 |
| 1184168734 | Dineen Ann Connolly | Physician Assistant | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2016-12-15 |
| 1750767885 | Carolyn Richon | Physical Therapist | 2445 Army Navy Dr, Suite 200, Arlington, VA 22206-2905 | 2015-07-30 |
| 1912393174 | Alexandria Sports Inc | Clinic/Center | 2445 Army Navy Dr, Suite 200, Arlington, VA 22206-2905 | 2015-04-14 |
| 1184030009 | Ryan Hubbard | Family Medicine | 2445 Army Navy Dr, Arlington, VA 22206-2998 | 2014-07-11 |
| 1427477686 | Bradley Wills | Orthopaedic Surgery | 2445 Army Navy Dr, Arlington, VA 22206 | 2014-04-15 |
| 1750651915 | Neighborhood Health | Clinic/Center | 2445 Army Navy Dr, Suite 305, Arlington, VA 22206-2905 | 2012-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354052 | Kayla Criswell | Behavior Technician | 4510 31st Street, Apt 204, Arlington, VA 22206 | 2019-12-22 |
| 1336650852 | Roman De Los Santos | Dentist | Blvd Cucacpah #212, Jijuana, BAJA CALIFORNIA 22206 | 2017-10-24 |
| 1104337179 | Chandra Jeanne Burnside | Registered Nurse | 4654a 36th Street South, Arlington, VA 22206 | 2017-10-18 |
| 1861912784 | Bonnie Schultz | Social Worker | 4537a 28th Rd S., Arlington, VA 22206 | 2017-06-21 |
| 1477093201 | Roxana Estrada | Dentist | 23678-b Luisa Martinez, Mariano Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2017-02-27 |
| 1073063095 | Alfredo Soto Navarrete | General Acute Care Hospital | Hermenegildo Galeana 22412, Ejido Francisco Villa, Tijuana, BAJA CALIFORNIA 22206 | 2016-10-13 |
| 1245681238 | Wendolyne Nashelly Corona Leal | Dentist | Ave Isla Tiburon 3662, Lamas Del Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2016-06-30 |
| 1659784304 | Christine Brown Wright | Audiologist | 4714 30th Street South, Arlington, VA 22206 | 2014-06-10 |
| 1538583653 | Fernellas Quality Care | Nutritionist | 2300 24th Road South #624, Arlington, VA 22206 | 2014-02-10 |
| 1851637532 | Umera Abdullah Thebo | Internal Medicine | 2270 S Garfield Street, Unit #4, Arlington, VA 22206 | 2012-12-27 |
| Find all providers in zip 22206 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1609297308 | Henry L Danaceau, Md Ltd | Orthopaedic Surgery | 2501 North Glebe Road, Arlington, VA 22207 | 2013-12-23 |
| 1457609323 | Matthew Carnochan Kinney | Orthopaedic Surgery | 2445 Army Navy Dr Ste 307, Arlington, VA 22206-2998 | 2012-08-26 |
| 1043415250 | Venkat Raghav Rapuri | Orthopaedic Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2007-06-18 |
| 1124175674 | Richard Otto Sutton | Orthopaedic Surgery | 1901 S Bell St, Arlington, VA 22202-4511 | 2007-01-05 |
| 1043222722 | John Anthony Sazy | Orthopaedic Surgery | 431 Omega Dr, Suite 104, Arlington, TX 76014-2041 | 2006-08-12 |
| 1821003609 | Family Orthopedics and Rehabilitation, LLP | Orthopaedic Surgery | 609 Matlock Centre Cir, Arlington, TX 76015-2535 | 2006-07-30 |
| 1033137435 | Bruce I Prager | Orthopaedic Surgery | 400 W Arbrook Blvd Ste 120, Arlington, TX 76014-3107 | 2006-07-17 |
| 1689606352 | Thomas Bradley Benedict | Orthopaedic Surgery | 901 Medical Centre Dr Ste C, Arlington, TX 76012-4700 | 2006-07-06 |
| 1194769224 | Jjc Enterprises,pllc | Orthopaedic Surgery | 103 E 3rd St, Arlington, WA 98223-1348 | 2006-06-16 |
| Find all providers in ARLINGTON | ||||
Please comment or provide details below to improve the information on BLAKE 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.