Active NPI
Peter Ellzey Gee, M.D.
- Specialist
- Stoneham, MA
National Provider Identifier
1104890268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 55192
- Practice address
- 92 Montvale Ave
Stoneham
Stoneham, MA 02180-3647 - Phone
- (781) 662-2229
- Fax
- (781) 662-1811
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 55192 | MA | Primary |
Addresses
Primary practice location
92 Montvale Ave
Stoneham
Stoneham, MA 02180-3647
Mailing address
92 Montvale Ave
Stoneham
Stoneham, MA 02180-3647
Phone (781) 662-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3097749 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55192 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1104890268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 MONTVALE AVE",
"address_2": "STONEHAM",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021803647",
"telephone_number": "781-662-2229",
"fax_number": "781-662-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 MONTVALE AVE",
"address_2": "STONEHAM",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021803647",
"telephone_number": "781-662-2229",
"fax_number": "781-662-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEE",
"first_name": "PETER",
"middle_name": "ELLZEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "55192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3097749",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.