Jeffrey R Peterman MD PC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

4301073421 Issued in MI

Legal business name

JEFFREY R PETERMAN MD PC

Practice address

333 Magazine St
Suite 102
Sault Sainte Marie, MI 49783-1867

Phone

(906) 253-9374

Fax

(906) 253-9002

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey R Peterman, MDNPI 1184712432

Title

Medical Doctor

Phone

(906) 253-9374

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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

• Jeffrey Peterman, M.D.

  • Family Medicine Physician
  • Sault Sainte Marie, MI
  • NPI 1184712432
  Medicare reassignment NPD Authorized official
• William Burgess Bacheler, D.D.S.

  • General Practice Dentistry
  • Sault Sainte Marie, MI
  • NPI 1467498733
  NPD (past)
• Clayton C Shunk, D.D.S.

  • General Practice Dentistry
  • Sault Sainte Marie, MI
  • NPI 1093762874
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1316298326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAGAZINE STREET",
            "address_2": "SUITE 102",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "906-253-9374",
            "fax_number": "906-253-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAGAZINE ST",
            "address_2": "SUITE 102",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831867",
            "telephone_number": "906-253-9374",
            "fax_number": "906-253-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R PETERMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "PETERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "906-253-9374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "4301073421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4369143",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Hutcheson, P.A.
• Brandi Johnel Hyatt
• Iron Mountain Vamc
• Amanda Isrow
• Jagannathan Neurosurgical Institute PLLC
• Amy Jo Joel
• Dale Johnson, O.D.
• Edward N. Johnson, M.D.
• Mary Johnson, R.N.
• Sandra Ellen Johnson

• Respite Care in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.