KEVIN PETERSON


Address: 3551 Rodger Brooke Dr, Anesthesia Residency, Jbsa-fort Sam Houston, TX 78234-4504
Phone: 2109168666

KEVIN PETERSON (NPI# 1790225662) 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) 1790225662
Entity Type Individual
Full Name KEVIN PETERSON
Credential DO
Practice Address 3551 Rodger Brooke Dr
Anesthesia Residency
Jbsa-fort Sam Houston
TX 78234-4504
Practice Telephone 2109168666
Practice Fax Number 2109168712
Mailing Telephone 2109168666
Enumeration Date 2017-02-27
Last Update Date 2019-02-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice S0534 TX Allopathic & Osteopathic Physicians

Other Providers KEVIN PETERSON

NPI Name Taxonomy Address Enumeration
1407499957 Kevin Michael Peterson Dentist 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 2019-10-28
1174712434 Kevin Richard Peterson Pharmacist 2324 S 156th Cir, Omaha, NE 68130-2511 2007-10-23
1053527895 Kevin Howard Peterson Psychologist 31 Baltimore St, Suite 103, Cumberland, MD 21502-3024 2007-05-16
1558327064 Kevin P Peterson Family Medicine 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, Minneapolis, MN 55106 2006-04-24
1154972180 Kevin Peterson Nurse Anesthetist, Certified Registered 500 Harvard St Se, Minneapolis, MN 55455-0363 2019-09-20
1811543895 Kevin Nicholas Peterson Physical Therapist 980 Roosevelt Ste 100, Irvine, CA 92620-3670 2019-08-14
1215412317 Kevin Bradley Peterson Audiologist 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 2018-09-25
1215466321 Kevin George Peterson Physical Therapist 898 Hampton Rd, Mcdonough, GA 30253-6514 2017-06-12
1538533393 Kevin Peterson Massage Therapist 3005 86th St, Urbandale, IA 50322-4001 2015-11-17
1669633343 Kevin W. Peterson Pediatrics 307 E Scenic Valley Ave, Indianola, IA 50125-4865 2008-06-24

Office Location

Street Address 3551 RODGER BROOKE DR
ANESTHESIA RESIDENCY
City JBSA-FORT SAM HOUSTON
State TX
Zip Code 78234-4504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255942884 Thomas Ballas Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 2020-08-17
1124657366 Wendy Harris Pharmacist 3041 Garden Ave, Fort Sam Houston, TX 78234 2020-04-08
1215564729 Travis Frantz Student in an Organized Health Care Education/Training Program 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 2020-03-25
1508492695 Matthew Grossmann Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 2020-03-20
1235793407 Jessica Maria May Franklin Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 2019-04-23
1730663477 Glen Snyder Military Health Care Provider 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 2018-09-19
1265919336 Ashley Elizabeth Malawey Military Health Care Provider 3222 Cpl Johnson Road, San Antonio, TX 78234 2018-07-23
1053805515 Rene Espinosa Social Worker San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 2018-06-19
1235622333 Melanie Edith Rivera Military Health Care Provider 3600 Roger Brooke Drive, San Antonio, TX 78234 2018-06-13
1063909158 Benjamin Walker Appelo General Practice San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 2018-04-16
Find all providers in zip 78234

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528565272 Leilani Holbrook General Practice San Antonio Military Medical Center, Mche-zpl-a, Pathology Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234-4504 2018-04-10
1417453556 Hannah Ruth Rose General Practice Sammc, Mche-zpla, Pathology Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234 2018-04-05
1346746914 Rocky Fox General Practice San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234-4504 2018-04-03
1184129116 Erin Swan General Practice San Antonio Military Center, Mche-zso, Orthopaedic Res, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234-4504 2018-03-30
1285138214 Lisa Claire Townsend General Practice Sammc, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234-4504 2018-03-23
1861996670 Cynthia Renee Sacco General Practice San Antonio Military Medical Center, Mche-zsg Residency, 3551 Roger Brooke Drive, Jbsa-fort Sam Houston, TX 78234-4504 2018-03-19
1841792405 Robert Thomas Powers General Practice Sammc, Mche-zso, Orthopaedic Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234 2018-02-28
1912431172 Cyrus Veryl Edelson General Practice 3551 Roger Brooke Dr. Internal Medicine Residency, San Antonio Military Medical Center, Mche-zdm-m, Jbsa-fort Sam Houston, TX 78234-4504 2017-04-14
1275073561 Jamie Geringer General Practice 3551 Roger Brooke Dr., Internal Medicine Residency, San Antonio Military Medical Center, Mche-zdm-m, Jbsa-fort Sam Houston, TX 78234-4504 2017-03-06
1255745691 Jason M Zack General Practice 2551 Roger Brooke Dr, Brooke Army Medical Ctr, Mche-20m-d, Jbsa-fort Sam Houston, TX 78234-6200 2014-06-13
Find all providers in JBSA-FORT SAM HOUSTON

Competitor

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City JBSA-FORT SAM HOUSTON
Zip Code 78234

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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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