KEERTI KIRUN PETERSON (NPI# 1760827117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760827117 |
| Entity Type | Individual |
| Full Name | KEERTI KIRUN PETERSON |
| Other Name | KEERTI KIRUN NANGIA |
| Credential | M.D. |
| Practice Address |
801 E Whitestone Blvd Ste C Cedar Park TX 78613 |
| Mailing Address |
505 S Main St Suite 525 Orange CA 92868-4509 |
| Practice Telephone | 5122593467 |
| Practice Fax Number | 5124067303 |
| Mailing Telephone | 7144565631 |
| Mailing Fax Number | 7142850389 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | R5795 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 382843601 | 05 | |
| TX | 382843602 | 05 |
| Street Address |
801 E WHITESTONE BLVD STE C |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578501 | Peds Center of Round Rock Pa | Pediatrics | 1301 Medical Pkwy Ste 310, Cedar Park, TX 78613-2529 | 2020-04-30 |
| 1972981702 | Alexandra Florence | Pediatrics | 13625 Ronald W Reagan Blvd Bldg 6, Cedar Park, TX 78613 | 2015-05-13 |
| 1184867632 | Lindsey Nicole Moore | Pediatrics | 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613-4484 | 2009-04-14 |
| 1558548396 | Cedar Park Pediatrics | Pediatrics | 200 Buttercup Creek Blvd Ste 100, Cedar Park, TX 78613-3701 | 2008-01-23 |
| 1396802583 | Richard W. Lawson | Pediatrics | 1901 Clarksville Ln, Unit 35, Cedar Park, TX 78613-7706 | 2007-01-03 |
| 1073510566 | Betzi Sarah Mathew | Pediatrics | 345 Cypress Creek Rd, Suite 104, Cedar Park, TX 78613-4483 | 2005-06-30 |
| 1548267040 | Deborah Parsons West | Pediatrics | 1730 E Whitestone Blvd, Ste 101, Cedar Park, TX 78613-7284 | 2005-06-30 |
| 1457951501 | Sunflower Pediatric Clinic, Pa | Pediatrics | 1301 Medical Pkwy Ste 310, Cedar Park, TX 78613-2529 | 2020-10-28 |
| 1689132540 | Michael C. Holmes, Md, Pllc | Pediatrics | 1464 E Whitestone Blvd Ste 2104, Cedar Park, TX 78613-9079 | 2019-03-08 |
| 1811424575 | Christopher Ng | Pediatrics | 13625 Ronald W Reagan Blvd Bldg 6, Cedar Park, TX 78613-2073 | 2017-05-12 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
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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.