Organization Active NPI

Peter F Gregory

  • Foot & Ankle Surgery Podiatrist
  • Livonia, MI
National Provider Identifier
1013185214
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901000968 Issued in MI
Legal business name
PETER F GREGORY
Practice address
17316 Farmington Rd
Livonia, MI 48152-3158
Phone
(734) 522-7676
Fax
(734) 261-2130
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter Field Gregory, D.P.M.
Title
Owner
Phone
(734) 522-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901000968 MI Primary

Addresses

Primary practice location

17316 Farmington Rd
Livonia, MI 48152-3158

Mailing address

17316 Farmington Rd
Livonia, MI 48152-3158
Phone (734) 522-7676

Other identifiers 2

IdentifierTypeStateIssuer
54OH22164OtherMIBLUE CROSS BLUE SHIELD MICHIGAN
54OH25899OtherBLUE CROSS BLUE SHIELD MICHIGAN

National Provider Directory

National Provider Directory

Locations

17316 Farmington Rd
Livonia, MI 48152
Phone (734) 522-7676

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1013185214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17316 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523158",
            "telephone_number": "734-522-7676",
            "fax_number": "734-261-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17316 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523158",
            "telephone_number": "734-522-7676",
            "fax_number": "734-261-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER F GREGORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "FIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-522-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901000968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MICHIGAN",
            "identifier": "54OH22164",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MICHIGAN",
            "identifier": "54OH25899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.