EDWARD J PETERS MD PA (NPI# 1891000873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891000873 |
Entity Type | Organization |
Organization Name | EDWARD J PETERS MD PA |
Practice Address |
800 W 34th St Ste 201 Austin TX 78705-1146 |
Mailing Address |
Po Box 163685 Austin TX 78716-3685 |
Practice Telephone | 5124545821 |
Mailing Telephone | 5124545821 |
Enumeration Date | 2010-08-13 |
Last Update Date | 2010-08-13 |
Authorized Official Name | DR. EDWARD J PETERS (OWNER) |
Authorized Official Telephone | 5124545821 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
F7045 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 127399701 | 05 |
Street Address |
800 W 34TH ST STE 201 |
City | AUSTIN |
State | TX |
Zip Code | 78705-1146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962537951 | Bernard L. Crosby, Md Pa | Specialist | 800 W 34th St Ste 201, Austin, TX 78705-1146 | 2007-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
Find all providers in zip 78705 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629428164 | South Austin Allergy and Wellness LLC | Allergy & Immunology | 11530 Manchaca Rd, Unit 2-a, Austin, TX 78748-2712 | 2016-06-15 |
1407813645 | Robert David Cook | Allergy & Immunology | 4150 N Lamar Blvd, Austin, TX 78756-3716 | 2006-05-01 |
1669464723 | Henry Joseph Legere IIi | Allergy & Immunology | 5656 Bee Caves Rd, Suite G201, Austin, TX 78746 | 2005-08-16 |
1023469178 | North Austin Allergy and Wellness LLC | Allergy & Immunology | 3705 Medical Pkwy, Unit 440, Austin, TX 78705-1019 | 2016-06-29 |
1518250844 | John P. Dice, M.d., Pa | Allergy & Immunology | 800 W 34th St, Suite 201, Austin, TX 78705-1143 | 2011-05-19 |
1225237217 | Robert D Cook, M.d. Pa | Allergy & Immunology | 4150 N Lamar Blvd, Austin, TX 78756-3716 | 2007-07-11 |
1306925896 | The Texas Asthma and Allergy Center | Allergy & Immunology | 11770 Jollyville Rd, Austin, TX 78759-3938 | 2006-11-03 |
1518063817 | Paul Vigo | Allergy & Immunology | 800 W 34th St, Suite 201, Austin, TX 78705-1143 | 2006-09-15 |
1497767420 | Thomas Michael Leath | Allergy & Immunology | 3410 Far West Blvd, Suite 146, Austin, TX 78731-3194 | 2006-08-11 |
1528031754 | Allergy & Asthma Associates, P.l.l.c. | Allergy & Immunology | 3410 Far West Blvd, 146, Austin, TX 78731-3194 | 2006-02-08 |
Find all providers in AUSTIN |
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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.