Active NPI
Eric Webster Peterson, M.D.
- Psychiatry Physician
- Asheville, NC
National Provider Identifier
1285848838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- NC17411
- Practice address
- 77 Church St
Asheville, NC 28801-3623 - Phone
- (828) 253-6998
- NPI assigned
- May 10, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NC17411 | NC | Primary |
Addresses
Primary practice location
77 Church St
Asheville, NC 28801-3623
Mailing address
PO Box 1718
Asheville, NC 28802-1718
Phone (828) 253-6998
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8967215 | Medicaid | NC | |
| 033527 | Other | NC | VALUE OPTIONS |
| 67215 | Other | NC | BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17411 | NC | MD | Pharmacist |
| NC17411 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1285848838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1718",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288021718",
"telephone_number": "828-253-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 CHURCH ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288013623",
"telephone_number": "828-253-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ERIC",
"middle_name": "WEBSTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "NC17411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8967215",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "033527",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "67215",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.