Peavey Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO161883 Issued in OR

Legal business name

PEAVEY MEDICAL PC

Practice address

1219 SW 4TH Ave Unit 2
Ontario, OR 97914-4500

Phone

(541) 889-2229

NPI assigned

Jun 7, 2013

Last updated

Jun 7, 2013By 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

Elisa Ann Peavey, D.O.

Title

Doctor of Osteopathy

Phone

(541) 889-2229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1144668534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SW 4TH AVE UNIT 2",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144500",
            "telephone_number": "541-889-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SW 4TH AVE UNIT 2",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144500",
            "telephone_number": "541-889-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAVEY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "PEAVEY",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR OF OSTEOPATHY",
        "authorized_official_telephone_number": "541-889-2229",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO161883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Payne, LCPC
• Steven Payson, ATC
• Elizabeth Pearce
• Rose Pearce
• Douglas David Pearlstein
• Elisa Ann Peavey, D.O.
• Alexandro A Pedroza, B.A.
• Amanda Pelayo, RMA
• Janette Lynn Pennington, CSWA
• Samantha Drey Perdue, QMHA

• Family Medicine Physician in Ontario, OR
• Providers in Ontario, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.