Organization Active NPI

Richard a Peters, M.D. PC

  • Surgery Physician
  • Anchorage, AK
National Provider Identifier
1073840070
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD3188 Issued in AK
Legal business name
RICHARD A PETERS, M.D. PC
Practice address
3300 Providence Dr
Suite 04
Anchorage, AK 99508-4671
Phone
(907) 212-4970
Fax
(907) 212-4912
NPI assigned
Nov 11, 2009
Organization subpart
Yes
Parent organization
RICHARD A PETERS, M.D.PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Dr. Richard A Peters, M.D
Title
Owner
Phone
(907) 212-4970

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MD3188 AK Primary
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X MD3188 AK
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X MD3188 AK
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X MD3188 AK

Addresses

Primary practice location

3300 Providence Dr
Suite 04
Anchorage, AK 99508-4671

Mailing address

3300 Providence Dr
Suite 04
Anchorage, AK 99508-4671
Phone (907) 212-4970

Other identifiers 1

IdentifierTypeStateIssuer
MD3188MedicaidAK

Other names 1

  • RICHARD A PETERS, M.D. Doing business as

National Provider Directory

National Provider Directory
Part of
Richard a Peters MD PC

Locations

3300 Providence Dr
Ste 4
Anchorage, AK 99508
Phone (907) 212-4970

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1073840070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR",
            "address_2": "SUITE 04",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084671",
            "telephone_number": "907-212-4970",
            "fax_number": "907-212-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR",
            "address_2": "SUITE 04",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084671",
            "telephone_number": "907-212-4970",
            "fax_number": "907-212-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A PETERS, M.D. PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD A PETERS, M.D.PC",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-212-4970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "MD3188",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AK",
            "license": "MD3188",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "AK",
            "license": "MD3188",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AK",
            "license": "MD3188",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3188",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHARD A PETERS, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.