Peter A Valencic, MS RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

833530 Issued in OH

Practice address

2351 East 22ND St
1St Floor
Cleveland, OH 44115

Phone

(216) 363-2637

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Vincent Charity Medical Center

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1902529985
  NPD (past)
• Westshore Primary Care Assoc Inc

  • Family Medicine Physician
  • Avon Lake, OH
  • NPI 1295842284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346312394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD",
            "address_2": "STE E",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 EAST 22ND ST",
            "address_2": "1ST FLOOR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44115",
            "telephone_number": "216-363-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIC",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "MS RD LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "833530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Diego Valdes Infante, MD
• Anayansi Valdes
• Ximena Valdes, MD
• Sarah Valek, SWT BA
• Willy Marcos Valencia Rodrigo, MD
• Kaleena Valente
• Megan Valente, PHARM.D., BCACP
• Stephanie Ann Sieg Valente, D.O.
• Asia Valentin
• Brittany Lauren Valentine

• Registered Dietitian in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.