PETER WECHGELAER (NPI# 1487626800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487626800 |
| Entity Type | Individual |
| Full Name | PETER WECHGELAER |
| Credential | MD MPH |
| Practice Address |
Medical Clinic Mcas New River Psc Box 21034 Jacksonville NC 28545-1034 |
| Mailing Address |
102 Oak Ridge Dr Havelock NC 28532-9624 |
| Practice Telephone | 9104496500 |
| Practice Fax Number | 9104496532 |
| Mailing Telephone | 2524471691 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0101054690 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
MEDICAL CLINIC MCAS NEW RIVER PSC BOX 21034 |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28545-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821402736 | Andrew Johnson | General Practice | White Street Bldg As-100, Mcas New River, Jacksonville, NC 28545-0000 | 2014-06-18 |
| 1386803872 | Jennifer Louise Knuth | Military Health Care Provider | Psc Box 21034, Jacksonville, NC 28545-1034 | 2008-06-09 |
| 1013176189 | Carolina Bornstein | Military Health Care Provider | Building As 100 White St, Mcas Nr, Jacksonville, NC 28545-1034 | 2008-06-04 |
| 1083777460 | Tyler Vachon | Military Hospital | Mcas Nr Mag 29 Gas, As 100, Jacksonville, NC 28545-1034 | 2006-12-18 |
| 1497896658 | Sos Inc | Community/Behavioral Health | 215 Memorial Drive, Jacksonville, NC 28545-6333 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
| 1972104198 | Kristen Dragotta | Physical Therapist | 8876 A C Skinner Pkwy Unit 8215, Jacksonville, FL 32256-0909 | 2020-11-04 |
| 1376144774 | Jennifer Mcmanus | Psychologist | 4143 San Juan Ave, Jacksonville, FL 32210-3333 | 2020-11-03 |
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1063013647 | Tia Patterson | Nurse's Aide | 9415 Devonshire Blvd, Jacksonville, FL 32208-7002 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1902406598 | Heidi Ellen Page | Registered Nurse | 3960 Marsh Bluff Dr, Jacksonville, FL 32226-4783 | 2020-11-01 |
| Find all providers in JACKSONVILLE | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437146164 | William S Padgett | Preventive Medicine | 2005 Knight Lane Bldg. H, Navy Medicine Support Command Attn: Dmhrsi Team, Jacksonville, FL 32212-0140 | 2005-09-27 |
| 1003319880 | Isaac Clayton Talbert | Preventive Medicine | 1090 Arnold Dr, Jacksonville, AR 72099 | 2018-03-17 |
| 1427379726 | Adam Brown | Preventive Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2010-06-21 |
| 1225003585 | Jayson T Tappan | Preventive Medicine | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760774087 | Brian Henry Huggins | Preventive Medicine | Unc Preventive Medicine Residency, 590 Manning Drive Cb 7595, Chapel Hill, NC 27599 | 2011-05-04 |
| 1598835373 | Health Status Evaluations LLC | Preventive Medicine | 3801 N Liberty St, Suite 210 Smith Reynolds Airport Terminal, Winston Salem, NC 27105-3968 | 2006-11-08 |
| 1578643797 | Anthony C Littrell | Preventive Medicine | Womack Army Medical Center Wamc, Credentials Office, Fort Bragg, NC 28310-0001 | 2006-10-16 |
| 1457367245 | Johann S Westphall | Preventive Medicine | 933 Dalmore Dr., Fayetteville, NC 28311 | 2006-07-31 |
| 1912977125 | Timothy Mattison | Preventive Medicine | 100 Brewster Blvd Bldg H100, Camp Lejeune, NC 28547-2575 | 2006-01-23 |
| 1730181199 | David Andrew Staneck | Preventive Medicine | Halyburton Naval Hospital Beaufort Rd, Bldg 3489, Cherry Point, NC 28533 | 2005-08-15 |
| 1518239748 | Andrew Brett Sorah | Preventive Medicine | 1000 Blythe Blvd, Suite 601, Charlotte, NC 28203-5812 | 2012-02-03 |
| 1255507208 | Andrew Michael Paul | Preventive Medicine | 4389 Beaufort Rd, Mcas Cherry Point, Havelock, NC 28533 | 2008-04-30 |
| 1063502862 | Nicholas Nathan Sweet | Preventive Medicine | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2006-10-13 |
| 1518934868 | Mary Elizabeth Gabriel | Preventive Medicine | 2817 Reilly Rd, Womack Army Medical Center Dooh Pes Meb, Ft Bragg, NC 28310 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 28545 |
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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.