Ronald Lynn Peveto, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38113 Issued in CO

Practice address

6900 Alden Dr
Attn: 90 MDG/SGP - Chief, Aerospace Medicine
F.E. Warren Afb, WY 82005-3906

Phone

(307) 773-5732

Fax

(307) 773-3809

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1912979014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10TH MEDICAL GROUP",
            "address_2": "4102 PINION DRIVE",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "80840",
            "telephone_number": "719-333-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR",
            "address_2": "ATTN: 90 MDG/SGP - CHIEF, AEROSPACE MEDICINE",
            "city": "F.E. WARREN AFB",
            "state": "WY",
            "postal_code": "820053906",
            "telephone_number": "307-773-5732",
            "fax_number": "307-773-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVETO",
        "first_name": "RONALD",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5479",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CO",
            "license": "38113",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Robin Marshall, MSW
• Jonathan Scott Martino, DDS
• Windy Angelica Matthews, DMD
• Randall James Nett, MD
• Nicole Perrault
• Christina Marie Pyeatt, IDMT
• Bradley Eugene Rausch, DDS
• Lauren Joann Redlinger, M.D.
• Ryan Christopher Reynolds, PHARMD
• Hans V Ritschard, PH.D.

• Family Medicine Physician in F.E. Warren Afb, WY
• Providers in F.E. Warren Afb, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.