Peter D. McArthur, M.D. – Otolaryngology Physician

Key facts

NPI: 1073501458
Entity type: Individual (NPI type 1)
Primary specialty: Otolaryngology Physician 207Y00000X
License: 17632 (MS)
Practice address: 907 E Sunflower Rd
Cleveland, MS 38732-2830
Phone: (662) 843-8801
NPI assigned: Oct 11, 2005
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Bolivar ENT, Inc Otolaryngology Physician · Cleveland, MS · NPI 1457357543

NPD (past) Authorized official OTOLARYNGOLOGY

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
17632	MS	MD	Otolaryngology Physician

Practice roles

Organization	Specialty	Status	New patients
Bolivar ENT, Inc	Otolaryngology	Past since Jul 9, 2007	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Otolaryngology Physician	207Y00000X	17632	MS	Yes

Addresses

Primary practice location

907 E Sunflower Rd
Cleveland, MS 38732-2830

Mailing address

907 E Sunflower Rd
Cleveland, MS 38732-2830
Phone (662) 843-8801

Other identifiers

Identifier	Type	State	Issuer
00126255	Medicaid	MS
1769681	Medicaid	LA

Other providers in Cleveland, MS

All providers in Cleveland, MS · Otolaryngology Physician in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.