Active NPI
Peter Joseph Calkin, D.O.
- Anesthesiology Physician
- Stoughton, MA
National Provider Identifier
1003025362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5101019121
- Practice address
- 907 Sumner St
Suite M201
Stoughton, MA 02072-3374 - Phone
- (781) 344-2325
- Fax
- (781) 341-8544
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 204105 | MA | |
| Anesthesiology Physician | 207L00000X | 228536 | MA | |
| Anesthesiology Physician | 207L00000X | 5101019121 | MI | Primary |
Addresses
Primary practice location
907 Sumner St
Suite M201
Stoughton, MA 02072-3374
Mailing address
907 Sumner St
Suite M201
Stoughton, MA 02072-3374
Phone (781) 344-2325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0550900704 | Other | MI | BCBS |
| 1003025362 | Medicaid | MI | |
| P00936959 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204105 | MA | MD | Anesthesiology Physician |
| 228536 | MA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1003025362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 SUMNER ST",
"address_2": "SUITE M201",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020723374",
"telephone_number": "781-344-2325",
"fax_number": "781-341-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 SUMNER ST",
"address_2": "SUITE M201",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020723374",
"telephone_number": "781-344-2325",
"fax_number": "781-341-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALKIN",
"first_name": "PETER",
"middle_name": "JOSEPH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "204105",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "228536",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101019121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0550900704",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003025362",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00936959",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.