Peggy M Anderson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009433 Issued in MI

Practice address

810 Cottageview Dr
Traverse City, MI 49684-2390

Phone

(231) 935-0708

Fax

(231) 935-0712

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1326094475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 COTTAGEVIEW DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842390",
            "telephone_number": "231-935-0708",
            "fax_number": "231-935-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 COTTAGEVIEW DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842390",
            "telephone_number": "231-935-0708",
            "fax_number": "231-935-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PEGGY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114602721",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Burson Anderson, MD
• Marvin Anderson
• Meghan Anderson, R.N.
• Michael Robert Anderson, PHARMD
• Natalie Clare Anderson
• Stephen Parker Anderson, LPC
• Andrea Cassell LMSW LLC
• Lenore Andres, MA LPC NCC
• Perla Andres
• Elizabeth Rose Andrews

• Family Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.