Peters Podiatry Group PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01475 Issued in MD

Legal business name

PETERS PODIATRY GROUP PLLC

Practice address

1 Eastern Blvd
Essex, MD 21221-7016

Phone

(202) 270-0388

NPI assigned

Mar 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lennie M. Peters, D.P.M.

Title

Owner

Phone

(718) 972-5000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1255639779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 HAMLIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173422",
            "telephone_number": "202-270-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212217016",
            "telephone_number": "202-270-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS PODIATRY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "LENNIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-972-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Essex, MD
• Providers in Essex, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.