George D Peterson MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0065007 Issued in FL

Legal business name

GEORGE D PETERSON MD PA

Practice address

5450 Macdonald Avenue
Suite 12
Key West, FL 33045-5870

Phone

(305) 293-9555

Fax

(305) 293-9551

NPI assigned

Jan 19, 2009

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George D Peterson, MDNPI 1942397799

Title

Physician

Phone

(305) 293-9555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2581/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Dwight Peterson, M.D.

  • Specialist
  • Key West, FL
  • NPI 1942397799
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1073750634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 MACDONALD AVENUE",
            "address_2": "SUITE 12",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330455870",
            "telephone_number": "305-293-9555",
            "fax_number": "305-293-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 MACDONALD AVENUE",
            "address_2": "SUITE 12",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330455870",
            "telephone_number": "305-293-9555",
            "fax_number": "305-293-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE D PETERSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-293-9555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0065007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373887600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Geanoulis, MA
• Bassel Gebrael, D.D.S
• Michel Jean-Marie Gehin, AP
• David Lamar Geist, RPH., PHARM.D.
• Genesiscare USA of Florida LLC (Marta A Gonzalez Cancer Center)
• Delia Gerard
• James Joseph Gerbracht, DC
• Elias Jeffrey Gerth, M.D.
• Donna Gibson
• Gayle G Gibson, CRNFA

• Specialist in Key West, FL
• Providers in Key West, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.