RONALD LYNN PEVETO (NPI# 1912979014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912979014 |
| Entity Type | Individual |
| Full Name | RONALD LYNN PEVETO |
| Credential | MD |
| Practice Address |
6900 Alden Dr Attn: 90 Mdg/sgp - Chief, Aerospace Medicine F.e. Warren Afb WY 82005-3906 |
| Practice Telephone | 3077735732 |
| Practice Fax Number | 3077733809 |
| Mailing Telephone | 3077735732 |
| Mailing Fax Number | 3077733809 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2009-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | G5479 | TX | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
38113 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
6900 ALDEN DR ATTN: 90 MDG/SGP - CHIEF, AEROSPACE MEDICINE |
| City | F.E. WARREN AFB |
| State | WY |
| Zip Code | 82005-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250597 | Brittany Corrin Souder | Military Health Care Provider | 1600 Aldene Drive, Fe Warren Afb, WY 82005 | 2020-06-23 |
| 1093368110 | Aaron Michael Keating | Student in an Organized Health Care Education/Training Program | Mental Health Clinic, 90th Omrs, Fe Warren Clinic, Fe Warren Afb, WY 82005 | 2019-07-17 |
| 1477643823 | Paul Hoon Kim | Dentist | 90 Mdos, 6900 Alden Dr, F.e. Warren Afb, WY 82005 | 2006-10-14 |
| 1568495315 | Joseph Myles Simpson, Jr. | Dentist | F E Warren Air Force Base Dental Clinic, 6900 Alden Drive, Cheyenne, WY 82005 | 2006-07-07 |
| 1306864632 | Lisa Sung Eun Lee | Pharmacist | 6900 Alden Drive, Fe Warren Afb, WY 82005 | 2006-07-17 |
| 1992957252 | Perala Enterprises, LLC | Eyewear Supplier (Equipment, not the service) | 6207 Missile Dr, Building 722, Ft Warren Afb, WY 82005-2407 | 2008-10-17 |
| 1972157808 | James Turvy | Dentist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-2945 | 2019-07-29 |
| 1245478676 | Denise E Campbell | Nutritionist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2009-01-22 |
| 1255837332 | Robert Usher Wright Jr. | General Practice | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2018-04-05 |
| 1396018982 | Ryan Christopher Reynolds | Pharmacist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2012-02-14 |
| Find all providers in zip 82005 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447359278 | Brian Patrick Hayes | Preventive Medicine | 6900 Alden Dr, Ft Warren Afb, WY 82005-3906 | 2006-09-21 |
| 1871580266 | Richard Lee Endorf | Preventive Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2005-09-30 |
| 1265427850 | Justin J Tingey | Preventive Medicine | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2005-09-20 |
| City | F.E. WARREN AFB |
| Zip Code | 82005 |
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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.