Peter S. Hedberg, M.D., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20058 Issued in OK

Legal business name

PETER S. HEDBERG, M.D., P.C.

Practice address

1400 Bryan Dr Ste 203
Durant, OK 74701-2157

Phone

(580) 931-9400

Fax

(580) 931-9404

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie M. Hedberg, R.N.

Title

Office Manager

Phone

(580) 931-9400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386789683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1819",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747021819",
            "telephone_number": "580-931-9400",
            "fax_number": "580-931-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 203",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012157",
            "telephone_number": "580-931-9400",
            "fax_number": "580-931-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER S. HEDBERG, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEDBERG",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-931-9400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "20058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Payne
• Lauren Allyson Pearson
• Marie E. Peden
• People First Industries of Bryan County Inc
• Krystal Peoples, PTA
• Christina Peterman
• Noah A Peterman
• Katie Pettett, BHRS
• Sky Pettett
• Carla Beth Pettit

• Surgery Physician in Durant, OK
• Providers in Durant, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.