Darryl W. Peterson, MD, Apmc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD12182R Issued in LA

Legal business name

DARRYL W. PETERSON, MD, APMC

Practice address

7855 Howell Blvd
Ste 200
Baton Rouge, LA 70807-5257

Phone

(225) 454-6000

Fax

(225) 302-7255

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Darryl W Peterson

Title

MD

Phone

(225) 454-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Darryl W Peterson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Darryl W. Peterson

  • Special Hospital
  • Baton Rouge, LA
  • NPI 1487949657
  NPD tax ID

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1396993416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "address_2": "STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075257",
            "telephone_number": "225-454-6000",
            "fax_number": "225-302-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "address_2": "STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075257",
            "telephone_number": "225-454-6000",
            "fax_number": "225-302-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL W. PETERSON, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "225-454-6000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD12182R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1543365",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiernisha Darensburg, PHARMD
• Marcia C. Darling, LPC
• Samaria Darlington
• Darrian Dawson & Associates, LLC
• Darryl W. Peterson
• William Dureau Dart Jr., FNP
• Ann M. Dartez, LCSW
• Samita Sumi Das, M.S. M.D./MBA
• Thirumalini Dasari, MD
• Harrison Roland Daste, M.D.

• Specialist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.