DR. MARY T PETER


Address: Springfield Radiologists St Johns Hospital, 800 E. Carpenter Street, Springfield, IL 62769-0001
Phone: 2175446464

DR. MARY T PETER (NPI# 1245416536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245416536
Entity Type Individual
Full Name DR. MARY T PETER
Credential M.D.
Practice Address Springfield Radiologists St Johns Hospital
800 E. Carpenter Street
Springfield
IL 62769-0001
Practice Telephone 2175446464
Mailing Telephone 2175446464
Enumeration Date 2008-01-16
Last Update Date 2009-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
036-118257 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036118257 05

Other Providers MARY PETER

NPI Name Taxonomy Address Enumeration
1013487719 Mary Theresa Peter Behavioral Analyst 860 Melrose Ave, Bronx, NY 10451-4443 2018-11-26
1629361407 Mary Ann Peter Social Worker 3000 Arlington Ave, Ms 1161, Toledo, OH 43614-2595 2011-05-26
1699075515 Mary P Peter Technician 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 2010-10-26
1215184676 Mary H Peter Physical Therapy Assistant 2474 E Joyce Blvd, Ste, 2, Fayetteville, AR 72703-4519 2008-08-27

Office Location

Street Address SPRINGFIELD RADIOLOGISTS ST JOHNS HOSPITAL
800 E. CARPENTER STREET
City SPRINGFIELD
State IL
Zip Code 62769-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871041244 Ejaz Shah Hospitalist 800 E Carpenter St, Springfield, IL 62769 2016-09-14
1023564176 Muhammad Sohail Yousuf Hospitalist 800 E Carpenter St, Springfield, IL 62769 2016-08-29
1194191544 Muhammad Nauman Javed Tarar Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2015-08-19
1144606583 Amit Bhandari Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2015-08-08
1255727673 Parth Patel Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2015-04-13
1316353428 Debdoot Saha Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2014-07-09
1689009243 Lucy Sams Physical Therapist 800 E Carpenter St, Springfield, IL 62769 2013-09-13
1326315383 Qing Yang Anesthesiology 800 E Carpenter St, Springfield, IL 62769 2011-11-18
1215259056 Kimberly K Sauerwein Nurse Anesthetist, Certified Registered 800 E Carpenter St, Springfield, IL 62769 2010-02-22
1003045097 Elijah Kim Surgery 800 E Carpenter St, Springfield, IL 62769 2009-07-10
Find all providers in zip 62769

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407389596 Medical Mile Imaging Radiology 3905 E Windsmore Dr, Springfield, MO 65802 2017-04-06
1154738961 Allison Kate Retzer Radiology 701 N 1st Box 101, Springfield, IL 62781-0001 2014-07-14
1134552821 Clinical Radiologists, S.c. Radiology 2812 Pat Tillman Dr, Springfield, IL 62711-6410 2013-08-16
1700199668 Telerad of Mo Account Management, LLC Radiology 5117 S. Neffleton Ave, Springfield, MO 65810 2010-07-21
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
1316108434 Michael C Snyder Radiology 2201 Greenside Dr, Springfield, IL 62704-3245 2008-06-20
1437361060 Kal Dulaimy Radiology 1350 Main Street Suite 1007, Radiology and Imaging, Inc., Springfield, MA 01103-0000 2007-05-04
1265654164 Nzeadibenma O Uzochukwu Radiology 800 Carpenter St, Springfield, IL 62769-0001 2007-05-02
1396865838 Charles X Stricker Radiology 4303 E Lori Lei Ct, Springfield, MO 65809-3501 2007-03-29
1558400358 Simon Vladimir Bekker Radiology Springfield Radiologists S C, 800 East Carpenter Street, Springfield, IL 62769-0001 2007-02-06
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62769

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Dataset Information

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.

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