DR. PHILLIP ALLEN PETERSON (NPI# 1104882596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104882596 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP ALLEN PETERSON |
| Credential | MD |
| Practice Address |
106 Huffard Dr Bluefield VA 24605-9209 |
| Practice Telephone | 2763223427 |
| Practice Fax Number | 2763224640 |
| Mailing Telephone | 2763223427 |
| Mailing Fax Number | 2763224640 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101042606 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005608732 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003137613 | Phillip Robert Peterson | Emergency Medicine | One Hospital Drive, Lewisburg, PA 17837-9350 | 2010-06-17 |
| 1710928486 | Phillip K Peterson | Internal Medicine | 516 Delaware Street Se, Ump Delaware Street Clinic, Minneapolis, MN 55455 | 2006-06-10 |
| Street Address |
106 HUFFARD DR |
| City | BLUEFIELD |
| State | VA |
| Zip Code | 24605-9209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851859086 | Bluefield Hospital Company LLC | Internal Medicine | 106 Huffard Dr, Bluefield, VA 24605-9209 | 2019-03-06 |
| 1295292100 | Bluefield Hospital Company LLC | Clinic/Center | 106 Huffard Dr, Bluefield, VA 24605-9209 | 2019-02-27 |
| 1215247325 | Cathy Lynn Bryson | Nurse Practitioner | 106 Huffard Dr, Bluefield, VA 24605-9209 | 2010-10-08 |
| 1063729218 | Bluefield Clinic Company LLC | Clinic/Center | 106 Huffard Dr, Bluefield, VA 24605-9209 | 2010-09-09 |
| 1124234778 | Bluefield Regional Medical Center | Clinic/Center | 106 Huffard Dr, Bluefield, VA 24605-9209 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539954 | Meghan Lee Bohach | Specialist/Technologist | 3000 College Dr., Bluefield, VA 24605 | 2019-07-08 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1053719229 | Erika Elaine Bell | Specialist/Technologist | 3000 College Ave, Bluefield, VA 24605 | 2014-12-19 |
| 1487948006 | Fermin Castro | Occupational Therapist | 20 Westwood Memorial Park, Bluefield, VA 24605 | 2011-05-31 |
| 1033422027 | Crewz LLC | Skilled Nursing Facility | Building 20, Westwood Medical Park, Bluefield, VA 24605 | 2010-07-19 |
| 1285966358 | Catherine Gillespie | Speech-Language Pathologist | 108 1/2 Spruce Street, Bluefield, VA 24605 | 2010-02-01 |
| 1790951432 | Derek S Buck | Physical Medicine & Rehabilitation | 111e Sanders Ln, Bluefield, VA 24605 | 2008-05-02 |
| 1275745994 | Christina Lynn Adkins | Occupational Therapist | Westwood Healthcare Center, Westwood Medical Park, Bluefield, VA 24605 | 2007-05-04 |
| 1215158100 | Beth Ann Reed | Physical Therapist | Westwood Center, Westwood Medical Park Rehab Department, Bluefield, VA 24605 | 2007-05-01 |
| 1164543559 | Constance L. Erickson | Speech-Language Pathologist | Westwood Office Park, Bluefield, VA 24605 | 2007-04-03 |
| Find all providers in zip 24605 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447608096 | Weston Childers | Family Medicine | 510 Cherry St Bldg A, Suite 308, Bluefield, WV 24701-3338 | 2016-05-24 |
| 1891093944 | Hiep Van Le | Family Medicine | 12 Westwood Medical Park, Bluefield, VA 24605-2000 | 2011-03-14 |
| 1881850592 | Ronald Wayne Billips | Family Medicine | 3016e Cumberland Rd, Bluefield, WV 24701-4858 | 2008-08-01 |
| 1851559454 | Nick Rohit Patel | Family Medicine | 4003 College Ave, Suite B, Bluefield, VA 24605-2043 | 2008-05-30 |
| 1467673491 | Bluefield Health Care | Family Medicine | 1421 Stadium Dr, Bluefield, WV 24701-3319 | 2007-05-01 |
| 1174612824 | James Curtis Lesnett | Family Medicine | Unit 12, Westwood Medical Park, Bluefield, VA 24605 | 2006-10-12 |
| 1568483907 | Wayne J Myles | Family Medicine | 510 Cherry St Ste 308, Bluefield, WV 24701-3334 | 2006-07-21 |
| 1952329203 | Thomas E. Brinegar | Family Medicine | 112 Spruce St, Box 1006, Bluefield, VA 24605-1738 | 2006-07-17 |
| 1942233184 | Anthony Daniel Rasi | Family Medicine | 231 Medical Park Drive, Suite 300, Bluefield, VA 24605-2002 | 2006-07-09 |
| 1073557047 | Jonathan David Yates | Family Medicine | 2111 College Ave, Bluefield, VA 24605-2002 | 2006-06-16 |
| Find all providers in BLUEFIELD | ||||
Please comment or provide details below to improve the information on DR. PHILLIP ALLEN 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.