Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Peyton M Van Pevenage, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568212611

Peyton M Van Pevenage, MD is a Student in an Organized Health Care Education/Training Program in Cincinnati, Ohio. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

234 Goodman St
Cincinnati, OH 45219
Phone: (513) 558-4592
Fax: (513) 558-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1568212611
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 31, 2024
Certification dateMarch 31, 2024
Mailing addressPo Box 670212, Cincinnati, OH 45267

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