KIMBERLY PEACOCK (NPI# 1235541665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235541665 |
| Entity Type | Individual |
| Full Name | KIMBERLY PEACOCK |
| Credential | DO |
| Practice Address |
8300 Hough Ave Cleveland OH 44103 |
| Mailing Address |
8300 Hough Ave Cleveland OH 44103-4247 |
| Practice Telephone | 2162317700 |
| Practice Fax Number | 2162317920 |
| Mailing Telephone | 2162317700 |
| Mailing Fax Number | 2162317920 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34.012512 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871021600 | Kimberly H Peacock | Nurse Practitioner | 20 Ridgeway Dr, Cataula, GA 31804-2645 | 2017-05-24 |
| 1942347919 | Kimberly L Peacock | Nurse Anesthetist, Certified Registered | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2007-01-31 |
| Street Address |
8300 HOUGH AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677809 | Idya Praveen Kumar | Internal Medicine | 8300 Hough Ave, Cleveland, OH 44103 | 2005-05-23 |
| 1679186605 | Sara Marie Chuirazzi | Student in an Organized Health Care Education/Training Program | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2020-08-28 |
| 1619587243 | Kathleen Marie Alto | Psychologist | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2020-08-07 |
| 1629621545 | Bryan L Wagner | Dentist | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2019-07-19 |
| 1730732652 | Julianne Lynn Janosko | Nurse Practitioner | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2019-07-19 |
| 1912460627 | Brittney Kittrell | Dentist | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2019-04-09 |
| 1992271951 | Bronwyn Dworkin | Advanced Practice Midwife | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2018-10-17 |
| 1386110294 | Kathryn Risch | Nurse Practitioner | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2018-10-17 |
| 1790262848 | Brittany Cermak | Dietitian, Registered | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2018-07-22 |
| 1265928741 | Brittni Montgomery | Social Worker | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2018-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| 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 |
|---|---|---|---|---|
| 1417577537 | Eduardo Trevino | Family Medicine | 3009 Midfield Cir Se, Cleveland, TN 37323-0554 | 2020-04-18 |
| 1518429240 | Care Alliance | Family Medicine | 4050 Superior Ave Fl 3, Cleveland, OH 44103-1128 | 2019-04-02 |
| 1659808236 | Tara K Iyer | Family Medicine | Women's Health Institute 9500 Euclid Ave A81, Cleveland, OH 44195-0001 | 2017-05-15 |
| 1972958072 | Matthew Novin | Family Medicine | 15105 St Clair Ave, Cleveland, OH 44110-1111 | 2016-04-27 |
| 1235519166 | Michelle Caster | Family Medicine | 11100 Euclid Ave # B200, Cleveland, OH 44106 | 2015-06-05 |
| 1437545720 | Keisha Danielle Sullivan | Family Medicine | 11100 Euclid Ave Fl Bolwell6, Cleveland, OH 44106 | 2015-04-13 |
| 1356747679 | Rmi Holding Corporation, Inc | Family Medicine | 3854 Candies Creek Ln Nw, Cleveland, TN 37312-1863 | 2014-11-13 |
| 1326450123 | Anna Camille Moreno | Family Medicine | 9500 Euclid Ave # A1-854, Cleveland, OH 44195-1101 | 2014-05-28 |
| 1568874816 | Garrett L Kirkpatrick | Family Medicine | The Cleveland Clinic Foundation 9500 Euclid Ave, Cleveland, OH 44195-4420 | 2014-05-21 |
| 1104250448 | Aaron Doss Samuel | Family Medicine | 3178 Chestnut Cir Nw, Cleveland, TN 37312-2137 | 2013-08-22 |
| Find all providers in CLEVELAND | ||||
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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.