Ray E Peters DO Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

R2C32 Issued in MO

Legal business name

RAY E PETERS DO INC

Practice address

221 Physicians Park
Poplar Bluff, MO 63901-3956

Phone

(573) 778-9422

Fax

(573) 778-9963

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Sandy Schrack

Title

Credentialing

Phone

(208) 664-4026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1033536974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 996",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350996",
            "telephone_number": "208-664-4026",
            "fax_number": "855-532-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PHYSICIANS PARK",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013956",
            "telephone_number": "573-778-9422",
            "fax_number": "573-778-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY E PETERS DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "SCHRACK",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "208-664-4026"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "R2C32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Raney, FNP-BC
• Rangitsch DMD LLC
• Alicia Rasmussen
• Kimberly Sue Rathbun
• Ray E Peters D.O.
• Orville Steven Rayburn, FNP
• Erica Danielle Raymer
• Hanumanth K Reddy, M.D
• Alicia Raylynn Reed
• Brooke N Reed, OT

• Hematology & Oncology Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Hematology & Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.