Peter Dsa, MD, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25482 Issued in AL

Legal business name

PETER DSA, MD, PC

Practice address

203 Medical Park Ofc Park
Talladega, AL 35160-2213

Phone

(256) 362-6357

Fax

(256) 362-5818

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter Dsa, M.D.

Title

Physician

Phone

(256) 362-6357

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1568601540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MEDICAL PARK OFC PARK",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602213",
            "telephone_number": "256-362-6357",
            "fax_number": "256-362-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MEDICAL PARK OFC PARK",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602213",
            "telephone_number": "256-362-6357",
            "fax_number": "256-362-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER DSA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "DSA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-362-6357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "25482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Talladega, AL
• Providers in Talladega, AL by specialty
• Gastroenterology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.