Active NPI
G Michael Peters, MD
- Obstetrics Physician
- Scottsdale, AZ
National Provider Identifier
1376527945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 42743
- Practice address
- 8300 E Dixileta Dr Unit 215
Scottsdale, AZ 85266-2274 - Phone
- (480) 361-8082
- NPI assigned
- Dec 6, 2005
- Last updated
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 094467 | NY | |
| Obstetrics Physician | 207VX0000X | 42743 | AZ | Primary |
Addresses
Primary practice location
8300 E Dixileta Dr Unit 215
Scottsdale, AZ 85266-2274
Mailing address
8300 E Dixileta Dr Unit 215
Scottsdale, AZ 85266-2274
Phone (480) 361-8082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 564135 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094467 | NY | MD | Clinical Social Worker |
| 42743 | AZ | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1376527945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 E DIXILETA DR UNIT 215",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852662274",
"telephone_number": "480-361-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 E DIXILETA DR UNIT 215",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852662274",
"telephone_number": "480-361-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "G MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "094467",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "AZ",
"license": "42743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "564135",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.