Active NPI
Calvin Ronald Peters, MD
- Plastic and Reconstructive Surgery Physician
- Orlando, FL
National Provider Identifier
1386685451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME0023807
- Practice address
- 2501 N Orange Ave
Suite 442
Orlando, FL 32804-4603 - Phone
- (407) 898-1436
- Fax
- (407) 898-6330
- NPI assigned
- Jun 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME0023807 | FL | Primary |
Addresses
Primary practice location
2501 N Orange Ave
Suite 442
Orlando, FL 32804-4603
Mailing address
2501 N Orange Ave
Suite 442
Orlando, FL 32804-4603
Phone (407) 898-1436
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2701930 | Other | CIGNA | |
| 11596 | Other | FL | FL HOSP HEALTHCARE SYSTEM |
| 2001245 | Other | AETNA HMO QPDS | |
| 182080453061 | Other | HUMANA | |
| 4008522 | Other | AETNA PPO PDS | |
| 47322 | Other | FL | BCBS OF FL |
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 |
|---|---|---|---|
| ME0023807 | FL | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1386685451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE",
"address_2": "SUITE 442",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044603",
"telephone_number": "407-898-1436",
"fax_number": "407-898-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE",
"address_2": "SUITE 442",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044603",
"telephone_number": "407-898-1436",
"fax_number": "407-898-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "CALVIN",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME0023807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2701930",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL HOSP HEALTHCARE SYSTEM",
"identifier": "11596",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO QPDS",
"identifier": "2001245",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "182080453061",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO PDS",
"identifier": "4008522",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "47322",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.