Stanley E. Peters, M.D.

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

014782 Issued in LA

Practice address

8080 Bluebonnet Blvd
Ste. 2121
Baton Rouge, LA 70810-7827

Phone

(225) 767-7200

Fax

(225) 767-7386

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2107/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisiana Ear, Nose, Throat & Sinus, LLC

  • Otolaryngology Physician
  • Baton Rouge, LA
  • NPI 1114483872

  LA

  Medicare reassignment NPD
• Hansbrough, Peters, Traxler & Scallan Medical Association, Inc.

  • Otolaryngology Physician
  • Baton Rouge, LA
  • NPI 1659360964
  NPD
• Fyzical of Baton Rouge, LLC

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1255994539
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1013906304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "STE. 2121",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-767-7200",
            "fax_number": "225-767-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "STE. 2121",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-767-7200",
            "fax_number": "225-767-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "STANLEY",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "LA",
            "license": "014782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309192",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oana M Petcu, MD
• Eric Peters, PHARM. D.
• Geoffrey Michael Peters, MD
• Janisha Peters
• Rebecca E Peters, NP
• William Ryan Peters, D.D.S.
• Brian Petit, MD
• Cameron Petite
• Maci Breaux Petite, APRN, FNP-C
• Ryan Petrossi, MS, LAT, ATC

• All providers in Baton Rouge, LA
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.