Active NPI
Richard a Peters, M.D. PC
- Surgery Physician
- Anchorage, AK
National Provider Identifier
1073840070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD3188
- 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.PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD3188 | AK | Primary |
| Surgical Critical Care Physician | 2086S0102X | MD3188 | AK | |
| Trauma Surgery Physician | 2086S0127X | MD3188 | AK | |
| Vascular Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD3188 | Medicaid | AK |
Other names 1
- RICHARD A PETERS, M.D.
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.