Frank Adolph Peltier, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

F1894 Issued in TX

Practice address

215 Oak Dr S Ste C
Lake Jackson, TX 77566-5617

Phone

(979) 297-6458

Fax

(979) 297-0076

NPI assigned

Aug 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Brazosport Dermatology Clinic PA

  • Dermatology Physician
  • Lake Jackson, TX
  • NPI 1457465452
  NPD (past) Authorized official
• Alpesh D. Desai, D.O. P.a.

  • Specialist
  • Houston, TX
  • NPI 1124078985
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1154515740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OAK DR S STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665617",
            "telephone_number": "979-297-6458",
            "fax_number": "979-297-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OAK DR S STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665617",
            "telephone_number": "979-297-6458",
            "fax_number": "979-297-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTIER",
        "first_name": "FRANK",
        "middle_name": "ADOLPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitesh Mahesh Patel, D.O.
• Shamim Patni, M.D., MPH
• Ron Paul, MD
• Grace Pavlovsky, D.C.
• Pediatric Urgent Care of Texas PLLC
• Periogoldental P.a
• Perisseuo Group LLC
• Perisseuo Group LLC
• Perry Mueller, Jr. DDS Inc
• Rachelle D Perry, RBT

• Specialist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.