DR. ROY JOHN PETERS (NPI# 1063701035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063701035 |
| Entity Type | Individual |
| Full Name | DR. ROY JOHN PETERS |
| Credential | M.D. |
| Practice Address |
401 Technology Ln Ste 200 Mount Airy NC 27030-5040 |
| Mailing Address |
2012 Autumn Blossom Ln Waxhaw NC 28173-3500 |
| Practice Telephone | 3367892922 |
| Practice Fax Number | 3367890856 |
| Mailing Telephone | 7046519844 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 101263371 | VA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 2013-01839 | NC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 000000000000 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
401 TECHNOLOGY LN STE 200 |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-5040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499691 | Elizabeth Ann Shockley | Nurse Practitioner | 401 Technology Ln Ste 200, Mount Airy, NC 27030-6692 | 2005-07-07 |
| 1174171631 | Victoria Lynn Mullins | Nurse Practitioner | 401 Technology Ln Ste 200, Mount Airy, NC 27030-5040 | 2019-08-28 |
| 1689148017 | Marcy Ladawn Daye | Registered Nurse | 401 Technology Ln Ste 200, Mount Airy, NC 27030-5040 | 2019-01-18 |
| 1942549852 | Kristie Lynn Szarpa | Nurse Practitioner | 401 Technology Ln Ste 200, Mount Airy, NC 27030-6692 | 2013-02-13 |
| 1578854147 | Hospice of Surry County, Inc | Hospice Care, Community Based | 401 Technology Ln Ste 200, Mount Airy, NC 27030-5040 | 2011-04-29 |
| 1487953618 | Esther Joan Street | Internal Medicine | 401 Technology Ln Ste 200, Mount Airy, NC 27030-5040 | 2011-03-28 |
| 1851355424 | Hospice of Surry County, Inc. | Hospice Care, Community Based | 401 Technology Ln Ste 200, Mount Airy, NC 27030-5040 | 2006-04-12 |
| 1861454555 | Jane G Sage | Registered Nurse | 401 Technology Ln Ste 200, Mount Airy, NC 27030 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912430653 | Zain Moosvi | Internal Medicine | 13673 Samhill Dr, Mount Airy, MD 21771-3918 | 2017-04-10 |
| 1124003249 | Jyothi Rao-mahadevia | Internal Medicine | 2702 Back Acre Circle, Suite 290c, Mount Airy, MD 21711-7769 | 2005-12-12 |
| 1104823327 | Jan Kriska | Internal Medicine | 905 Rockford St, Mount Airy, NC 27030-5323 | 2005-07-01 |
| 1114467404 | Northern Hospital of Surry County | Internal Medicine | 830 Rockford St, Mount Airy, NC 27030-5322 | 2017-03-06 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| 1962866616 | Bryce Joseph Hamilton | Internal Medicine | 830 Rockford St, Mount Airy, NC 27030 | 2016-04-08 |
| 1043690522 | Forsyth Memorial Hospital Inc | Internal Medicine | 2133 Rockford St, Suite 1400, Mount Airy, NC 27030-6587 | 2015-06-01 |
| 1568869089 | Surry Regional Health Services, Inc. | Internal Medicine | 314 S South St, Suite 800, Mount Airy, NC 27030-4491 | 2014-11-26 |
| 1487953618 | Esther Joan Street | Internal Medicine | 401 Technology Ln Ste 200, Mount Airy, NC 27030-5040 | 2011-03-28 |
| 1326244658 | Veselin Stoyanov Gizdarski | Internal Medicine | 905 Rockford St, Mount Airy, NC 27030-5323 | 2007-06-24 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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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.