Stig Peitersen MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K0987 Issued in TX

Legal business name

STIG PEITERSEN MD PA

Practice address

1111 W Frank Ave Ste 302
Lufkin, TX 75904-3323

Phone

(936) 699-4730

Fax

(936) 699-4737

NPI assigned

Aug 14, 2007

Last updated

Aug 5, 2010By 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

Stig E Peitersen, MD PA

Title

Physician

Phone

(936) 699-4730

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Kevin Lee Murphy, PA-C

  • Physician Assistant
  • Nacogdoches, TX
  • NPI 1548483472
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1083806020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE STE 302",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043323",
            "telephone_number": "936-699-4730",
            "fax_number": "936-699-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE STE 302",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043323",
            "telephone_number": "936-699-4730",
            "fax_number": "936-699-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIG PEITERSEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "PEITERSEN",
        "authorized_official_first_name": "STIG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "936-699-4730",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141572101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8429M0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stellis Hospice of East Texas, LLC
• Walter David Stephens II, MD
• Cindi Steptoe-Andrews, MS,LPC,NCC
• Connie Stewart
• Melissa K. Stewart, APN FNP-C
• Still Waters Professional Counseling Services, PLLC
• Stoneleigh Health Care Center LTD. Co (Larkspur)
• Shannon Nicole Story, LPC
• Nina Michelle Stovall, LPN
• Lynell Pyle Stover, OTR

• Specialist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.