Peter R Pashley, D.O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101013427 Issued in MI

Practice address

130 Washington St
Marine City, MI 48039-1680

Phone

(810) 765-8750

Fax

(810) 765-4326

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Internal Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peter R Pashley D.O.,P.C.Group PAC ID 8325012032, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Peter R Pashley D.O.,P.C

  • Internal Medicine Physician
  • Sterling Heights, MI
  • NPI 1154447464
  Medicare reassignment Care Compare group Authorized official
• Jae Young Lee MD PC

  • Internal Medicine Physician
  • Marine City, MI
  • NPI 1811155039
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• William Beaumont Hospital

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1811044878
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1063401685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WASHINGTON ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391680",
            "telephone_number": "810-765-8750",
            "fax_number": "810-765-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WASHINGTON ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391680",
            "telephone_number": "810-765-8750",
            "fax_number": "810-765-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHLEY",
        "first_name": "PETER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013427",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "1154447464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114444391",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1157400904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Neale
• Norbert C. Zimmer P.C.
• Teresa Olack, DDS, MS
• Madison Ottjepka, LMSW
• Patricia Marie Parise, OTR
• Dipa Patel, D.D.S
• Pegasus Therapy LLC
• Lucio Lorenzo Persichetti, D.D.S
• Lois Pierskalla
• Pulsar Medical Group PC

• Internal Medicine Physician in Marine City, MI
• Providers in Marine City, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.