DR. CORNELIUS R PETERSON (NPI# 1063642957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063642957 |
| Entity Type | Individual |
| Full Name | DR. CORNELIUS R PETERSON |
| Other Name | DR. NEAL PETERSON |
| Credential | MD |
| Practice Address |
77 Nealy Blvd Langley Afb Hospital, Anesthesiology Room 2110 Hampton VA 23693 |
| Mailing Address |
77 Nealy Blvd Langley Afb Hospital, Anesthesiology Hampton VA 23665 |
| Practice Telephone | 7577640856 |
| Mailing Telephone | 7577640856 |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2013-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 27117 | NE | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 9407283 | KS | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 9407283 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
77 NEALY BLVD LANGLEY AFB HOSPITAL, ANESTHESIOLOGY ROOM 2110 |
| City | HAMPTON |
| State | VA |
| Zip Code | 23693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617499 | Sebastian Alejandro Cruz | Military Health Care Provider | 77 Nealy Blvd, Hampton, VA 23665-2023 | 2020-04-13 |
| 1730547258 | Heidi Marie Blaski | Registered Nurse | 77 Nealy Blvd, Hampton, VA 23665-2023 | 2016-01-29 |
| 1750568234 | Fredilyn M Lipata | Pathology | 77 Nealy Blvd, Hampton, VA 23665-2023 | 2008-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154088 | Michelle Melo Digman | Behavior Technician | 3630 George Washington Highway, Suite D, Yorktown, VA 23693 | 2018-11-29 |
| 1518332451 | Restored Life Wellness Center, Pllc | Chiropractor | 3212 Hampton Hwy Suite C, Yorktown, VA 23693 | 2015-12-03 |
| 1285924100 | Red Star Dental | Dentist | 202 St.clair Cirle, Apt K, Yorktown, VA 23693 | 2011-04-12 |
| 1538495411 | Laura Ann Lavold | Nurse Practitioner | 3212 Hampton Highway, Suite B, Yorktown, VA 23693 | 2009-10-27 |
| 1609024090 | Foot Solutions Yorktown | Durable Medical Equipment & Medical Supplies | 2643 George Washington Memorial Hwy, #c, Yorktown, VA 23693 | 2008-08-28 |
| 1578740023 | Nicole Jackson | Counselor | 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 | 2008-01-28 |
| 1184836025 | Angela Jeanne Giles | Social Worker | 107-g Little Bay Avenue, Yorktown, VA 23693 | 2007-05-04 |
| 1003950197 | John Joseph Sheehan II | Optometrist | 2601 George Washington Hwy, Family Eyecare, Yotktown, VA 23693 | 2007-02-20 |
| 1356406920 | Laurence Allen Warren | Dentist | 106 Yorktown, Yorktown, VA 23693 | 2006-12-26 |
| 1386727022 | Hampton Roads Counseling Ctr Inc | Clinic/Center | 6515 Geo Wash Mem Hwy, Ste 100, Grafto, VA 23693 | 2006-10-24 |
| Find all providers in zip 23693 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447545074 | Jessica Catherine Bright | Anesthesiology | 37 Research Dr, Hampton, VA 23666-1324 | 2011-06-11 |
| 1295799583 | Sherwin Mark Angus | Anesthesiology | 113 Signature Way, Hampton, VA 23666-5966 | 2006-04-13 |
| 1649231465 | Eric Lamont Tweedie | Anesthesiology | 3000 Coliseum Drive, Hampton, VA 23666 | 2006-03-31 |
| 1235133075 | Martha Elizabeth Mitchell | Anesthesiology | 850 Enterprise Pkwy, Hampton, VA 23666-6251 | 2005-06-09 |
| 1922428804 | Jonathan Michael Sotosky | Anesthesiology | 3000 Coliseum Dr, Hampton, VA 23666 | 2014-04-18 |
| 1679816508 | Tracey Furlonge Gibson | Anesthesiology | 77 Nealy Ave Bldg 257, Hampton, VA 23665-2040 | 2013-03-28 |
| 1326339078 | Matthew P Caldwell | Anesthesiology | 3000 Coliseum Dr, Department of Anesthesiology, Hampton, VA 23666-5963 | 2011-04-29 |
| 1932367513 | Yun Qin | Anesthesiology | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2008-05-29 |
| 1003092032 | Major K Boateng | Anesthesiology | 501 Medical Dr, Hampton Roads Gastroenterology, Hampton, VA 23666-6080 | 2008-01-22 |
| 1831313469 | Asha B. Kale | Anesthesiology | 501 Medical Dr, Hampton, VA 23666-6080 | 2007-04-13 |
| Find all providers in HAMPTON | ||||
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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.