Active NPI
David B Peisner, MD
- Maternal & Fetal Medicine Physician
- Dubois, PA
National Provider Identifier
1124095443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD433961
- Practice address
- 869 Beaver Drive
Dubois, PA 15801 - Phone
- (814) 371-6501
- Fax
- (814) 371-6504
- NPI assigned
- Mar 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | MD433961 | PA | Primary |
Addresses
Primary practice location
869 Beaver Drive
Dubois, PA 15801
Mailing address
869 Beaver Drive
Dubois, PA 15801
Phone (814) 371-6501
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD433961 | Other | PA | STATE MEDICAL LICENSE |
| 1021144330001 | Medicaid | PA | |
| 102114433 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maternal Fetal Medicine of Practice Associates, PA | Maternal & Fetal Medicine | Past | Accepting new patients |
| Obstetrix Medical Group of Phoenix PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Maternal & Fetal Medicine Physician
- Morristown, NJ
- NPI 1578613840
-
- Pediatric Cardiology Physician
- Phoenix, AZ
- NPI 1346269594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590192000000",
"number": "1124095443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "869 BEAVER DRIVE",
"city": "DUBOIS",
"state": "PA",
"postal_code": "15801",
"telephone_number": "814-371-6501",
"fax_number": "814-371-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "869 BEAVER DRIVE",
"city": "DUBOIS",
"state": "PA",
"postal_code": "15801",
"telephone_number": "814-371-6501",
"fax_number": "814-371-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEISNER",
"first_name": "DAVID",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-06",
"last_updated": "2020-05-23",
"certification_date": "2020-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "PA",
"license": "MD433961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "MD433961",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021144330001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102114433",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubois, PA
- Michael Joseph Mohnacky, M.S.
- Daniel Lee Murphy, CRNP
- Sherry Ann Nightingale, LICENSED BEHAVIOR SP
- Pamela Ann Null, CRNP, NP-C
- Peg Armanini'S Hearing Healthcare, LLC
- Pennsylvania CVS Pharmacy LLC
- Thomas Carmen Petraitis, DMD
- Lisa Fairman Pfingstler, M.D.
- Kirstie Barbara Pistner, PA-C
- Grace Polohonki, B.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.