Peter Donald Maher IV, M.D., PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD00035465 Issued in WA

Legal business name

PETER DONALD MAHER IV, M.D., PLLC

Doing business as

Columbia River Gastroenterology

Practice address

602 N Colorado St
Suite D
Kennewick, WA 99336-7825

Phone

(509) 735-8600

Fax

(509) 783-7354

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter Donald Maher IV, M.D.

Title

Owner

Phone

(509) 735-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Columbia River Gastroenterology Doing business as

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1104910538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N COLORADO ST",
            "address_2": "SUITE D",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367825",
            "telephone_number": "509-735-8600",
            "fax_number": "509-783-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N COLORADO ST",
            "address_2": "SUITE D",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367825",
            "telephone_number": "509-735-8600",
            "fax_number": "509-783-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER DONALD MAHER IV, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-735-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00035465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111962",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia River Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Christian Perry, M.D.
• Johnathan R Perry, MD
• Robert Perry, D.D.S.
• Amy Darhui Person, M.D.
• Pattrisha Pesina, CDP
• Amanda D Petersen, PA-C
• Daniel Allen Petersen, DDS
• Jared M. Petersen, DO
• Peterson Medical LLC
• Kathleen Peterson, PHARMD

• Gastroenterology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.