Active NPI
James M Peterson, MD
- Family Medicine Physician
- Nashua, NH
National Provider Identifier
1538158522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16287
- Practice address
- 280 Main St
Suite 210
Nashua, NH 03060-2919 - Phone
- (603) 577-2759
- Fax
- (603) 577-3081
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16287 | NH | Primary |
Addresses
Primary practice location
280 Main St
Suite 210
Nashua, NH 03060-2919
Mailing address
PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079783 | Medicaid | MA | |
| SX1733 | Other | MA | PTAN |
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 |
|---|---|---|---|
| 16287 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashoba Valley Healthcare Group Inc | Family Medicine | Past | Accepting new patients |
| Southern New Hampshire Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxyprd.solutionhealth.org/FHIR_PRD/MYCHART/api/FHIR/R4
- https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1598700940
-
- Family Medicine Physician
- Ayer, MA
- NPI 1174513071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1538158522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3677",
"city": "NASHUA",
"state": "NH",
"postal_code": "030613677",
"telephone_number": "603-577-7900",
"fax_number": "603-577-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MAIN ST",
"address_2": "SUITE 210",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602919",
"telephone_number": "603-577-2759",
"fax_number": "603-577-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JAMES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "16287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079783",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "SX1733",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.