PETER OBOURN (NPI# 1679998843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679998843 |
| Entity Type | Individual |
| Full Name | PETER OBOURN |
| Credential | DO |
| Practice Address |
1000 South Ave Rochester NY 14620-2733 |
| Mailing Address |
601 Elmwood Ave Box 665 Rochester NY 14642-0001 |
| Practice Telephone | 5852755321 |
| Practice Fax Number | 5852761202 |
| Mailing Telephone | 5852755321 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2019-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
295728 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1000 SOUTH AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113618 | Tulsi Dass | Specialist | 1000 South Ave, # 95, Rochester, NY 14620-2733 | 2005-06-10 |
| 1285234088 | David Boguta | Physician Assistant | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-29 |
| 1285233643 | Autumn Hope Smith | Internal Medicine | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-18 |
| 1528665841 | Zachary Lamb | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-08 |
| 1245853134 | Travis John Lawrence | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-05-26 |
| 1962035790 | James Spencer Caal | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-20 |
| 1417580994 | Sarah Jean Jones | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-12 |
| 1346872371 | Ellen Hufziger | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-07 |
| 1568093169 | Tricia Blanchard | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2782 | 2020-02-01 |
| 1902437858 | Aubrie Anna Macikowski | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073855664 | Nicole Angela Strong | Internal Medicine | 601 Elmwood Ave, Box 665, Rochester, NY 14642 | 2013-03-21 |
| 1700015559 | Maria V Karipidis Pouria | Internal Medicine | 601 Elmwood Ave, Box 665, Rochester, NY 14642-0001 | 2009-07-14 |
| 1114190931 | Katherine H Rizzone | Internal Medicine | 601 Elmwood Ave, Box 665, Rochester, NY 14642 | 2008-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033730148 | Pjp Medical Pllc | Internal Medicine | 489 Atlantic Ave, Brooklyn, NY 11217-2985 | 2020-04-29 |
| 1609287572 | Morgan Anderson Busko | Internal Medicine | 51 W 51st St Ste 370, New York, NY 10019-1918 | 2014-05-14 |
| 1467677815 | Merritt Fuller Spear I | Internal Medicine | State University New York, 1010 Broad St, Plattsburgh, NY 12901 | 2007-04-13 |
| 1548382831 | Station Physical Therapy | Internal Medicine | 10 E 33rd Street, 2nd Floor, New York, NY 10016 | 2007-04-06 |
| 1043352982 | Scott Adam Weiss | Internal Medicine | 1800 Walt Whitman Rd Ste 120, Melville, NY 11747 | 2007-02-13 |
| 1619032794 | Richard E Greene | Internal Medicine | 227 Madison St Fl 4, Gouverneur Healthcare Services, New York, NY 10002-7537 | 2006-12-27 |
| 1659449353 | Jeffrey Delson | Internal Medicine | 7 Gay St, New York, NY 10014-3536 | 2006-12-01 |
| 1548338411 | Irwin Abraham | Internal Medicine | 206a E. 30th St., New York, NY 10016-8202 | 2006-12-01 |
| 1538250568 | Nanuet Medical Services, P.C. | Internal Medicine | 7 College Avenue, Nanuet, NY 10954 | 2006-09-27 |
| 1710991765 | Sheryl Lynn Wulkan | Internal Medicine | 2 Prohealth Ave, Lake Success, NY 11042 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PETER OBOURN.
| 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.