Peter Dillard MD Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

64175 Issued in OH

Legal business name

PETER DILLARD MD INC

Practice address

3237 Ormond Rd
Cleveland Heights, OH 44118-3415

Phone

(216) 321-7116

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Peter Dillard, MD

Title

President

Phone

(216) 321-7116

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1366622623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 ORMOND RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183415",
            "telephone_number": "216-321-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 ORMOND RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183415",
            "telephone_number": "216-321-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER DILLARD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-321-7116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "64175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0890942",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick K Pekarcik, PHARMD.
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• Terri Michele Perelman-Hall, PSY.D.
• Michele L. Peroginelli, PHARM.D.
• Reeva Perse, M.A.
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• Svetlana Peterson, PHARMD
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• Philip H. Lamb, D.D.S., Inc.
• Roland Philip, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Geriatric Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.