Douglas Peterson LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

DOUGLAS PETERSON LLC

Practice address

4 State Rd
Danvers, MA 01923-2567

Phone

(978) 774-3400

Fax

(978) 774-5883

NPI assigned

Dec 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Edward Peterson, D.O.NPI 1477535896

Title

Orthopedic Surgeon /Owner

Phone

(978) 774-3400

Specialties & licenses 1

Addresses

Tax ID family

Douglas E Peterson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Douglas E. Peterson, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Danvers, MA
  • NPI 1336491612
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Edward Peterson, DO

  • Orthopaedic Surgery Physician
  • Danvers, MA
  • NPI 1477535896
  NPD Authorized official

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1285032342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STATE RD",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232567",
            "telephone_number": "978-774-3400",
            "fax_number": "978-774-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 STATE RD",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232567",
            "telephone_number": "978-774-3400",
            "fax_number": "978-774-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS PETERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON /OWNER",
        "authorized_official_telephone_number": "978-774-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Christine Doucet Tagliarino
• Courtney Doucette
• Danielle Doucette
• Lana K Doughty, RNCS, APRN
• Douglas E. Peterson, LLC
• Stephanie Douglas
• Jessica Nicole Douillette, M.ED
• Clarence Dow-Spielman
• Stephen P Down, LIC. AC.
• Victoria J Downes, M.A.

• Orthopaedic Surgery Physician in Danvers, MA
• Providers in Danvers, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.