Alan P Peter DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101014745 Issued in MI

Legal business name

ALAN P PETER DO PC

Doing business as

Macomb Family Medical Center

Practice address

16800 24 Mile Rd
Suite 4
Macomb TWP, MI 48042

Phone

(586) 992-9970

Fax

(586) 992-9972

NPI assigned

Sep 5, 2006

Last updated

Dec 28, 2008By 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

Dr. Alan P Peter, DONPI 1922098193

Title

Owner President

Phone

(586) 992-9970

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Macomb Family Medical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan P Peter, D.O.

  • Family Medicine Physician
  • Macomb, MI
  • NPI 1922098193
  Authorized official Same address or phone

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230422400000",
    "number": "1174625420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 24 MILE RD",
            "address_2": "SUITE 4",
            "city": "MACOMB TWP",
            "state": "MI",
            "postal_code": "48042",
            "telephone_number": "586-992-9970",
            "fax_number": "586-992-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 24 MILE RD",
            "address_2": "SUITE 4",
            "city": "MACOMB TWP",
            "state": "MI",
            "postal_code": "48042",
            "telephone_number": "586-992-9970",
            "fax_number": "586-992-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN P PETER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2008-12-28",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "586-992-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "0E02052",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114933018",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macomb Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ulrike Doris Bierkamp, A.T.,C.
• Robert Cartwright
• Russell Wayne Craig, DO
• Danny Taylor D.C.P.C.
• Lisa Ann Marlow, MACCC A

• Family Medicine Physician in Macomb TWP, MI
• Providers in Macomb TWP, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; 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.