Active NPI
Sara B Peters, M.D.
- Clinical Pathology Physician
- Westerville, OH
National Provider Identifier
1336239508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- 35088779
- Practice address
- 430 Altair Pkwy
Ste 210
Westerville, OH 43082-7647 - Phone
- (614) 898-7546
- Fax
- (614) 794-4294
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 35088779 | OH | |
| Anatomic Pathology Physician | 207ZP0101X | 35088779 | OH | |
| Clinical Pathology Physician | 207ZC0006X | 35088779 | OH | Primary |
Addresses
Primary practice location
430 Altair Pkwy
Ste 210
Westerville, OH 43082-7647
Mailing address
430 Altair Pkwy
Ste 210
Westerville, OH 43082-7647
Phone (614) 898-7546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2692877 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Skin & Cancer Inc | Past | Accepting new patients | |
| Weill Medical College of Cornell | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Westerville, OH
- NPI 1922016864
-
- Clinical Medical Laboratory
- New York, NY
- NPI 1932203346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1336239508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 ALTAIR PKWY",
"address_2": "STE 210",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827647",
"telephone_number": "614-898-7546",
"fax_number": "614-794-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 ALTAIR PKWY",
"address_2": "STE 210",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827647",
"telephone_number": "614-898-7546",
"fax_number": "614-794-4294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "SARA",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "OH",
"license": "35088779",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "OH",
"license": "35088779",
"primary": false
},
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "OH",
"license": "35088779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2692877",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.