Individual provider Active NPI

Gregory A Peterson, MD

  • Psychiatry Physician
  • Akron, OH
National Provider Identifier
1245328491
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35042485 Issued in OH
Practice address
1 Akron General Ave
4TH Floor, Acc
Akron, OH 44307-2432
Phone
(330) 344-6525
Fax
(330) 996-2943
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35042485 OH Primary

Addresses

Primary practice location

1 Akron General Ave
4TH Floor, Acc
Akron, OH 44307-2432

Mailing address

1 Akron General Ave
4TH Floor, Acc
Akron, OH 44307-2432
Phone (330) 344-6525

Other identifiers 4

IdentifierTypeStateIssuer
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
2347795MedicaidOH
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Coleman Professional Services, Inc. Psychiatry PastSince Jun 26, 2004 Accepting new patients
Partners Physician Group Psychiatry Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Internal Medicine of Akron Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Community Support Services Inc PastSince Oct 1, 1987 Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1245328491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AKRON GENERAL AVE",
            "address_2": "4TH FLOOR, ACC",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072432",
            "telephone_number": "330-344-6525",
            "fax_number": "330-996-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AKRON GENERAL AVE",
            "address_2": "4TH FLOOR, ACC",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072432",
            "telephone_number": "330-344-6525",
            "fax_number": "330-996-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35042485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2347795",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.