DANIEL P PEABODY (NPI# 1336105048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336105048 |
| Entity Type | Individual |
| Full Name | DANIEL P PEABODY |
| Credential | MD |
| Practice Address |
721 E Milltown Rd Wooster OH 44691-1255 |
| Mailing Address |
1740 Cleveland Rd Wooster OH 44691-2204 |
| Practice Telephone | 3302874669 |
| Practice Fax Number | 3302874665 |
| Mailing Telephone | 3302874500 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2008-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35067791 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0170498 | 05 |
| Street Address |
721 E MILLTOWN RD |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174185250 | Corey Austin Thomas | Physical Therapist | 721 E Milltown Rd, Wooster, OH 44691-1331 | 2019-06-28 |
| 1235593054 | Sean Jackson | Physical Therapist | 721 E Milltown Rd, Wooster, OH 44691-1331 | 2016-04-07 |
| 1548681422 | Kristin Chabak | Registered Nurse | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2013-12-19 |
| 1699103929 | Katherine Provenzano | Nurse Practitioner | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2013-10-23 |
| 1265705818 | Thomas David Cannon | Clinical Exercise Physiologist | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2012-02-13 |
| 1770854440 | Jaime Demarco | Registered Nurse | 721 E Milltown Rd, Wooster, OH 44691-1331 | 2012-01-26 |
| 1215123963 | James A Karol | Physician Assistant | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2007-09-17 |
| 1134329667 | Bradley Arthur Pierce | Orthopaedic Surgery | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2007-07-23 |
| 1255536751 | Kate E Bullach | Physical Therapist | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2007-06-15 |
| 1497801237 | Wooster Clinic, LLC | Clinic/Center | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2007-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952432551 | Surgical Specialists, LLC | Surgery | 2200 Benden Dr, Suite 8, Wooster, OH 44691-2569 | 2007-03-08 |
| 1851357727 | Robert D Cebul | Surgery | 128 E Milltown Rd Ste 101, Wooster, OH 44691-6108 | 2006-04-21 |
| 1437151388 | Larry A Stern | Surgery | 2317 Gateway Dr, Suite C, Wooster, OH 44691-5343 | 2005-08-11 |
| 1003106089 | Anthony Michael Calabretta | Surgery | 128 E Milltown Rd, Suite 101, Wooster, OH 44691-6109 | 2011-04-12 |
| 1164656971 | Tamera Lynn Robotham | Surgery | 128 E Milltown Rd, Suite 101, Wooster, OH 44691-6109 | 2009-05-07 |
| 1144286139 | Richard Guttman | Surgery | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2006-04-26 |
| 1871594507 | Linda M Wang | Surgery | 128 E Milltown Rd, Suite 2, Wooster, OH 44691-6109 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
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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.