DR. ROBERT GLYNN PEDEN (NPI# 1538312848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538312848 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GLYNN PEDEN |
| Credential | M.D. |
| Practice Address |
533 Bolivar St Suite 566 New Orleans LA 70112-1349 |
| Mailing Address |
533 Bolivar Street Suite 566 New Orleans LA 70112 |
| Practice Telephone | 5045684785 |
| Practice Fax Number | 5045684460 |
| Mailing Telephone | 5045684785 |
| Mailing Fax Number | 5045684460 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
11011 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649365123 | Robert Mcneely Peden | Counselor | 1380 Pantheon Way, Suite 310, San Antonio, TX 78232 | 2006-10-03 |
| 1710985601 | Robert M Peden | Nurse Anesthetist, Certified Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-07-13 |
| Street Address |
533 BOLIVAR ST SUITE 566 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720065519 | Paul A Lelorier | Internal Medicine | 533 Bolivar St, Box Csrb 3-42, New Orleans, LA 70112-1349 | 2005-12-22 |
| 1528529542 | Christopher H Lasecki | Student in an Organized Health Care Education/Training Program | 533 Bolivar St, New Orleans, LA 70112-1349 | 2019-03-31 |
| 1447771845 | Jonas Randall Miller | Student in an Organized Health Care Education/Training Program | 533 Bolivar St, New Orleans, LA 70112-1349 | 2017-07-06 |
| 1780125955 | Palak Patel | Student in an Organized Health Care Education/Training Program | 533 Bolivar St, Suite 566, New Orleans, LA 70112-1349 | 2017-03-20 |
| 1023429685 | Shalimar Small | Ophthalmology | 533 Bolivar St, New Orleans, LA 70112-1349 | 2014-05-15 |
| 1447574470 | Celeste Christina Gary | Otolaryngology | 533 Bolivar St, Suite 566, New Orleans, LA 70112-1349 | 2010-03-19 |
| 1245471234 | Laura Pelaez | Otolaryngology | 533 Bolivar St, Ste 566, New Orleans, LA 70112-1349 | 2009-03-20 |
| 1639338650 | Eduard Bogdan Dinca | Student in an Organized Health Care Education/Training Program | 533 Bolivar St, Room 508, New Orleans, LA 70112-1349 | 2008-06-05 |
| 1063691574 | Jonathan Allen Sanders | Emergency Medicine | 533 Bolivar St, Rm 508, New Orleans, LA 70112-1349 | 2007-10-31 |
| 1528257037 | Diego Ramon Lopez Osa | Student in an Organized Health Care Education/Training Program | 533 Bolivar St, Suite 639, New Orleans, LA 70112-1349 | 2007-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306004460 | Rizwan Aslam | Otolaryngology | 1430 Tulane Ave, Sl-59, New Orleans, LA 70112-2632 | 2008-05-27 |
| 1003080201 | Parker Anthony Velargo | Otolaryngology | 2633 Napoleon Ave, Ste: 920, New Orleans, LA 70115-6357 | 2008-04-17 |
| 1275591877 | Homer Devon Graham IIi | Otolaryngology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619405404 | Pennington Facial Plastics, LLC | Otolaryngology | 345 Drexel Dr, Shreveport, LA 71106-2305 | 2017-05-24 |
| 1225377856 | James J Lanasa Jr Md Pmc | Otolaryngology | 2223 Quail Run Dr., Ste E, Baton Rouge, LA 70808 | 2013-02-01 |
| 1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
| 1598891806 | David Malcom Doan | Otolaryngology | 15814 Professional Plaza, Hammond, LA 70403-1453 | 2007-02-23 |
| 1952480634 | Ruth Marianne Owens | Otolaryngology | 3900 Veterans Memorial Blvd Ste 200, Metairie, LA 70002-5634 | 2006-11-03 |
| 1497709307 | Harold G Bienvenu IIi | Otolaryngology | 711 S Ryan St, Ste # 100, Lake Charles, LA 70601-5785 | 2006-05-22 |
| 1477502474 | Stephen Eric Metzinger | Otolaryngology | 3223 8th St, Suite 200, Metairie, LA 70002-1623 | 2006-05-08 |
| 1053722785 | Khoobehi & Associates, LLC | Otolaryngology | 3901 Veterans Memorial Blvd, Metairie, LA 70002-5602 | 2014-05-15 |
| 1134411507 | Lindsey Alexander Pennington | Otolaryngology | 1501 Kings Hwy, Otolaryngology, Shreveport, LA 71103-4228 | 2011-05-04 |
| 1255549101 | Sean Richard Weiss | Otolaryngology | 2201 Veterans Memorial Blvd, Suite 408, Metairie, LA 70002-6323 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.