Thomas Rex Peterson, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1 Issued in FL

Practice address

Fau Emergency Medicine, Bethesda Hospital East
Attn: Joanne Daly, 2815 S. Seacrest Blvd.
Boynton Beach, FL 33435

Phone

(561) 733-5933

Fax

(866) 617-8268

NPI assigned

Mar 26, 2019

Last updated

Mar 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CCN 100366 Hospital, CCN 100366
• St Mary's Medical Center Hospital, West Palm Beach, FL, CCN 100288

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  FL

  Medicare reassignment Care Compare group NPD
• Blue Radiology Services LLC

  • Diagnostic Radiology Physician
  • Wellington, FL
  • NPI 1174976468
  Medicare reassignment NPD
• Em Alliance LLC

  • Emergency Medicine Physician
  • Wellington, FL
  • NPI 1922788959
  Medicare reassignment NPD
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  Medicare reassignment NPD
• Sterling Emergency Services of Florida PA

  • Emergency Medicine Physician
  • West Palm Beach, FL
  • NPI 1295720241
  Medicare reassignment NPD
• Sterling Emergency Services of Florida PA

  • Emergency Medicine Physician
  • Boynton Beach, FL
  • NPI 1578814570
  NPD
• Sterling Emergency Services of Florida PA

  • Emergency Medicine Physician
  • Boynton Beach, FL
  • NPI 1659366698
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Coast Medical and Surgical Center, Inc.

  dba Florida Coast Medical Center

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1003618406
  Care Compare affiliation
• St. Mary's Medical Center, Inc

  dba St. Mary's Medical Center

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1952333205
  Care Compare affiliation

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1164983086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAU EMERGENCY MEDICINE, BETHESDA HOSPITAL EAST",
            "address_2": "ATTN: JOANNE DALY, 2815 S. SEACREST BLVD.",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-733-5933",
            "fax_number": "866-617-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAU EMERGENCY MEDICINE, BETHESDA HOSPITAL EAST",
            "address_2": "ATTN: JOANNE DALY, 2815 S. SEACREST BLVD.",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-733-5933",
            "fax_number": "866-617-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "THOMAS",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jane Permuter-Nguyen, M.A.
• Sarah Perone
• Allison Heather Perry
• Christopher Allan Perry, MT
• Harshana Persaud
• Valery L. Petit-Homme
• Lauren Petrides
• Teresa Pfaff, M.D.
• Katie Pham
• Phanord Meridian Health LLC

• Emergency Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.