Individual provider Active NPI

Peter Blakeslee Mapes, M.D., M.P.H. BS

  • Aerospace Medicine Physician
  • Oscoda, MI
National Provider Identifier
1437145133
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
4301052152 Issued in MI
Practice address
206 East Park Street
Oscoda, MI 48750-1645
Phone
(937) 212-8435
NPI assigned
Sep 27, 2005
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 4301052152 MI
General Practice Physician 208D00000X 4301052152 MI
Aerospace Medicine Physician 2083A0100X 4301052152 MI Primary

Addresses

Primary practice location

206 East Park Street
Oscoda, MI 48750-1645

Mailing address

206 East Park Street
Oscoda, MI 48750-1645
Phone (937) 212-8435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217000650 MI Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 4981097839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301052152MIMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1437145133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EAST PARK STREET",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501645",
            "telephone_number": "937-212-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 EAST PARK STREET",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501645",
            "telephone_number": "937-212-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPES",
        "first_name": "PETER",
        "middle_name": "BLAKESLEE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H. BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "4301052152",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301052152",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "MI",
            "license": "4301052152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oscoda, MI

Sources for this page

Verify at the official NPI Registry.