MS. KELLY ELIZABETH PEEKSTOK (NPI# 1942663224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942663224 |
| Entity Type | Individual |
| Full Name | MS. KELLY ELIZABETH PEEKSTOK |
| Credential | M.D., MPH |
| Practice Address |
2265 Exchange St Astoria OR 97103-3331 |
| Mailing Address |
2111 Exchange St Astoria OR 97103-3329 |
| Practice Telephone | 5033257337 |
| Mailing Telephone | 5033254321 |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD196135 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
2265 EXCHANGE ST |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486433 | Robert Wayne | Surgery | 2265 Exchange St, Astoria, OR 97103-3419 | 2005-09-09 |
| 1780283648 | Alexis Aiello | Speech-Language Pathologist | 2265 Exchange St, Astoria, OR 97103-3331 | 2020-10-21 |
| 1992330294 | Debra Shortman | Physical Therapist | 2265 Exchange St, Astoria, OR 97103-3331 | 2020-03-06 |
| 1174154454 | Heather Robinson | Physical Therapist | 2265 Exchange St, Astoria, OR 97103-3331 | 2020-01-27 |
| 1164060646 | Emily Ruth Gates Olson | Registered Nurse | 2265 Exchange St, Astoria, OR 97103-3331 | 2019-12-16 |
| 1366935769 | Chelsea Kae Zweber | Physician Assistant | 2265 Exchange St, Astoria, OR 97103-3331 | 2018-06-11 |
| 1265971758 | Emily Pirmann | Pediatrics | 2265 Exchange St, Astoria, OR 97103-3331 | 2017-02-16 |
| 1528516622 | Corinne Almquist | Advanced Practice Midwife | 2265 Exchange St, Astoria, OR 97103-3331 | 2016-09-17 |
| 1063825610 | Amber Amaris Hull | Pediatrics | 2265 Exchange St, Astoria, OR 97103 | 2014-06-10 |
| 1174940373 | Sarah H Humphrey | Obstetrics & Gynecology | 2265 Exchange St, Astoria, OR 97103 | 2014-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
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| 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 |
|---|---|---|---|---|
| 1720511348 | Ashley Kyle Martin | Pediatrics | 2325 31st St Fl 3, Astoria, NY 11105-2299 | 2017-04-10 |
| 1891158234 | Rammiya Nallainathan | Pediatrics | 2325 31st St Ste 302, Astoria, NY 11105-2298 | 2016-04-02 |
| 1811318389 | Shahid Malik | Pediatrics | 30-44 29th Street, #1j, Astoria, NY 11102-2533 | 2013-12-30 |
| 1639332620 | Nikolas Papaevagelou | Pediatrics | 22 47 Crescent Street, Suite101, Astoria, NY 11102 | 2008-07-09 |
| 1821159419 | Costas Frousios | Pediatrics | 29 22 30 Th Ave, Astoria, NY 11102 | 2006-12-13 |
| 1619042652 | Galina Orenshteyn | Pediatrics | 1226 31st Ave, Astoria, NY 11106-4814 | 2006-11-22 |
| 1164515334 | Michael Iordanou | Pediatrics | 3711 23rd Ave, Astoria, NY 11105-1901 | 2006-10-02 |
| 1366461923 | Magdy Ibrahim Mohammed | Pediatrics | 2592 Steinway St, Astoria, NY 11103-3745 | 2006-07-18 |
| 1366471187 | Andrew Steven Rosenblum | Pediatrics | 3030 45th St, Ground Floor, Astoria, NY 11103-1849 | 2006-07-02 |
| 1073567335 | Lilly Rodriguez | Pediatrics | 2922 30th Ave, Astoria, NY 11102-2565 | 2006-05-20 |
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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.