ROBERT KENNETH PETERSON (NPI# 1285849067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285849067 |
| Entity Type | Individual |
| Full Name | ROBERT KENNETH PETERSON |
| Credential | LPN |
| Practice Address |
5979 Renner Rd Columbus OH 43228-9588 |
| Practice Telephone | 6145633357 |
| Mailing Telephone | 6145633357 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 092939 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2656611 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902206683 | Robert Peterson | Otolaryngology | 3921 E Nora Cir, Mesa, AZ 85215-1077 | 2014-08-29 |
| 1255605911 | Robert Dennis Peterson | Acupuncturist | 1214 S Alma St, #5, San Pedro, CA 90731-3949 | 2012-02-28 |
| 1295006419 | Robert Michael Peterson Jr. | Dentist | 747 W. Devon, Park Ridge, IL 60068 | 2012-01-19 |
| 1871822361 | Robert Curt Peterson | Psychologist | 5041 Warm Springs Rd Ste C, Columbus, GA 31909-6938 | 2009-12-14 |
| 1467581025 | Robert Jason Peterson | Preventive Medicine | 1614 Wrightstown Rd, Newtown, PA 18940-2814 | 2007-03-02 |
| 1437294923 | Robert Schaefer Peterson | Psychologist | 865 Hilltop Road, Erie, PA 16509-2153 | 2007-02-21 |
| 1518010636 | Robert Lee Peterson | Case Manager/Care Coordinator | 915 S Mckinley St, Casper, WY 82601-3440 | 2007-01-19 |
| 1720144876 | Robert Lester Peterson | Family Medicine | 900 Riverside Dr, Suite IIi, Waupaca, WI 54981-1983 | 2006-12-30 |
| 1982768040 | Robert James Peterson | Optometrist | 4306 W Crystal Lk Road, Mchenry, IL 60050-4294 | 2006-12-21 |
| 1104922491 | Robert G Peterson | Specialist | 24910 Las Brisas Rd Ste 121, Murrieta, CA 92562-4035 | 2006-09-15 |
| Street Address |
5979 RENNER RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-9588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| Find all providers in zip 43228 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1558976621 | Ruby Kay Miller | Licensed Practical Nurse | 1387 Georgesville Rd, Columbus, OH 43228-3611 | 2020-09-15 |
| 1295346633 | Velita Trinea Harris | Licensed Practical Nurse | 5461 York Ln N, Columbus, OH 43232-1564 | 2020-08-10 |
| 1205446168 | Muna Jama | Licensed Practical Nurse | 3422 Partridge Pl Apt 103, Columbus, OH 43231-4920 | 2020-08-05 |
| 1174132211 | Josephine Mustapha | Licensed Practical Nurse | 5446 Maple Canyon Ave, Columbus, OH 43229-3823 | 2020-07-24 |
| 1720603962 | Michael Nti | Licensed Practical Nurse | 7772 Pinney Hill Ct, Columbus, OH 43085-4876 | 2020-06-13 |
| 1396360913 | Alicia Brime | Licensed Practical Nurse | 5550 Sierra Ridge Dr, Columbus, OH 43231-6728 | 2020-06-09 |
| 1891319232 | Ciara Murphy | Licensed Practical Nurse | 345 E Deshler Ave, Columbus, OH 43206-2786 | 2020-06-02 |
| 1891317434 | Comfort Abigail Adoma Boakye | Licensed Practical Nurse | 4152 Rita Joanne Ln, Columbus, OH 43230-4060 | 2020-05-16 |
| 1487280228 | Tamika C Jones | Licensed Practical Nurse | 4972 Buttonbush St, Columbus, OH 43230-4166 | 2020-03-12 |
| Find all providers in COLUMBUS | ||||
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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.