Active NPI
Robert Peterson
- Plastic Surgery Physician
- Houston, TX
National Provider Identifier
1235100165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 206462
- Practice address
- 17070 Red Oak Dr
Suite 500
Houston, TX 77090-2619 - Phone
- (281) 893-4144
- Fax
- (281) 583-2375
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 206462 | TX | Primary |
Addresses
Primary practice location
17070 Red Oak Dr
Suite 500
Houston, TX 77090-2619
Mailing address
17070 Red Oak Dr
Suite 500
Houston, TX 77090-2619
Phone (281) 893-4144
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, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206462 | TX | MD | Plastic Surgery Physician |
Interoperability endpoints
- ropeterson@direct.uspi.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1235100165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17070 RED OAK DR",
"address_2": "SUITE 500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902619",
"telephone_number": "281-893-4144",
"fax_number": "281-583-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17070 RED OAK DR",
"address_2": "SUITE 500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902619",
"telephone_number": "281-893-4144",
"fax_number": "281-583-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "206462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.