Marc L Peters-Golden, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

4301047562 Issued in MI

Practice address

1500 East Medical Center Dr
3Rd Floor Taubman Ctr Recp C
Ann Arbor, MI 48109-5360

Phone

(734) 647-9342

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mpetersgolden27552@direct.med.umich.edu

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1235211756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "3RD FLOOR TAUBMAN CTR RECP C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095360",
            "telephone_number": "734-647-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS-GOLDEN",
        "first_name": "MARC",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047562",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301047562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ora Hirsch Pescovitz, MD
• Susan Pesha, LMSW
• Peter Scuccimarri, MD, Faafp, PC
• Peter Vanbeck DDS PLLC
• Anna Katharina Peter, M.D
• Sally Jean Peters-Sines, RN
• Katie Peters
• Lindsey Peters, LCSW
• Mathilde C Peters, DMD, PHD
• McKenzie Ann Peters, OTD, OTRL

• Pulmonary Disease Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.