PETER THEODOROS KALOGERINIS


Address: 1540 Purdue Dr, Suite 200, Fayetteville, NC 28303-5509
Phone: 9106301112

PETER THEODOROS KALOGERINIS (NPI# 1740584853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740584853
Entity Type Individual
Full Name PETER THEODOROS KALOGERINIS
Credential PA-C
Practice Address 1540 Purdue Dr
Suite 200
Fayetteville
NC 28303-5509
Practice Telephone 9106301112
Practice Fax Number 9104251110
Mailing Telephone 9106301112
Mailing Fax Number 9104251110
Enumeration Date 2011-01-04
Last Update Date 2014-11-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-02675 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1540 PURDUE DR
SUITE 200
City FAYETTEVILLE
State NC
Zip Code 28303-5509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982646352 Meisha Kama Abbasinejad Physical Medicine & Rehabilitation 1540 Purdue Dr, Ste. 200, Fayetteville, NC 28303-5509 2006-06-12
1942660352 Five Points Healthcare of Nc, LLC Home Health 1540 Purdue Dr, Suite 302, Fayetteville, NC 28303-5509 2016-02-26
1245621655 Angel Morgan Social Worker 1540 Purdue Dr, Fayetteville, NC 28303 2015-02-08
1538586094 Dawn Staten Drakeford Counselor 1540 Purdue Dr, Suite 300, Fayetteville, NC 28303-5509 2014-03-23
1790049187 Heidi Kathryn Vance Counselor 1540 Purdue Dr, Suite 200, Fayetteville, NC 28303-5509 2012-06-29
1902179294 Alexander Youth Network Clinic/Center 1540 Purdue Dr, Suite, Fayetteville, NC 28303-5509 2012-02-16
1528380896 Stephanie Dawn Mcgrath Counselor 1540 Purdue Dr, Fayetteville, NC 28303-5509 2010-02-26
1982939104 Kim Young Psychologist 1540 Purdue Dr, Suite 300, Fayetteville, NC 28303-5509 2009-10-06
1720237977 Cheryl Lynn Gershey Nurse Practitioner 1540 Purdue Dr, Suite 101, Fayetteville, NC 28303-5509 2008-09-11
1881750347 Suzanne Lenore Walker Counselor 1540 Purdue Dr, Suite 100, Fayetteville, NC 28303-5509 2006-12-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801404496 Matthew Pace Physician Assistant Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 2020-07-20
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1932746229 Julie Harriss Specialist/Technologist Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 2019-12-05
1235780354 Helen Delores Johnson Technician 261 Pierron Dr, Fayetteville, NC 28303 2019-09-20
1922655075 Andrea Margaret Hutnam Technician 714 Shortridge Rd, Fayetteville, NC 28303 2019-08-23
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1780148957 Brian K Cox Sr. Occupational Therapy Assistant 5300 Ramsey St, Fayetteville, NC 28303 2019-01-22
1730670902 Michael Sadtler Counselor 804 Stamper Rd Ste 101, Fayetteville, NC 28303 2018-05-23
1104320399 Tia Porterfield Counselor 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 2018-03-21
1154835577 Jessica Bass Bosworth Psychologist 3415 Youngstown Dr, Fayetteville, NC 28303 2017-11-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443387 Melissa Macneil Spencer Physician Assistant 810 Knighthood Cir, Fayetteville, NY 13066-8721 2020-10-03
1366067548 Prathna Raval Physician Assistant 6808 Thames Dr, Fayetteville, NC 28306-2524 2020-06-12
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1144858515 Mackenzie Anna Kirchner Physician Assistant 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 2020-03-31
1770116931 Chasity Nicole Sullivan Physician Assistant 202b Highland Ave, Fayetteville, NC 28305-5308 2020-02-17
1740812833 Madeline Everitt Monday Physician Assistant 705 Stonington Dr, Fayetteville, NC 28311-0329 2020-02-07
1396375325 Lisa Ann Gross Physician Assistant 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 2020-01-17
1811536048 Kelly Hamilton Sweatt Physician Assistant 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 2020-01-06
1922563667 Reandy Nicole Hearn Physician Assistant 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 2019-02-06
1790259430 Cassandra Ann Nebosky-diaz Physician Assistant 659 Daharan Dr, Fayetteville, NC 28314-6538 2019-01-16
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Competitor

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City FAYETTEVILLE
Zip Code 28303

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Dataset Information

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.

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