Peter R Fenwick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4024 Issued in NV

Legal business name

PETER R FENWICK, MD

Practice address

75 Pringle Way Ste 505
Reno, NV 89502-1469

Phone

(775) 786-7216

Fax

(775) 786-9365

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter R Fenwick, MD

Title

Physician/Owner

Phone

(775) 786-7216

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1083895288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 505",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021469",
            "telephone_number": "775-786-7216",
            "fax_number": "775-786-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 505",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021469",
            "telephone_number": "775-786-7216",
            "fax_number": "775-786-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER R FENWICK, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "FENWICK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "775-786-7216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016342",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Pesch, MSOTR/L
• Peter B Dekay MD LLC
• Peter B Littlehale DC LTD
• Peter Barbieri Manual Therapy and Associates
• Peter C Lim MD LTD
• Cadence Peters
• December Peters
• Jennifer L Peters, PA-C
• Krystal Peters, APRN
• Robert Reynold Peters, DO

• Family Medicine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.