Peterson Plastic Surgery, Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD00031440 Issued in WA

Legal business name

PETERSON PLASTIC SURGERY, INC

Practice address

105 W 8TH Ave Ste 500
Spokane, WA 99204-2300

Phone

(509) 838-3937

Fax

(509) 624-6232

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lucy Elizabeth Peterson, MD

Title

President

Phone

(509) 838-3937

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Peterson MD Doing business as

Locations

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1356623698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 500",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042300",
            "telephone_number": "509-838-3937",
            "fax_number": "509-624-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 500",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042300",
            "telephone_number": "509-838-3937",
            "fax_number": "509-624-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON PLASTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LUCY ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-838-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00031440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Peterson MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Don R. Petersen, O.D.
• Kerri Petersen, ARNP
• Megan Petersen, ARNP
• William Marc Petersen, D.D.S, P.C.
• Peterson Dental
• Alexandra Rae Peterson
• Altari Sunra Peterson, LMP
• Amanda Peterson, RN
• Ansley Autumn Peterson, MSW
• Arnold G Peterson, M.D.

• Plastic Surgery Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.