Individual provider Active NPI

Peter Viavant, MD

  • Family Medicine Physician
  • Walla Walla, WA
National Provider Identifier
1609965144
Registry record updated Aug 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00030493 Issued in WA
Practice address
218 E Langdon Rd
Walla Walla, WA 99362-8593
Phone
(509) 525-5304
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00030493 WA Primary

Addresses

Primary practice location

218 E Langdon Rd
Walla Walla, WA 99362-8593

Mailing address

218 E Langdon Rd
Walla Walla, WA 99362-8593
Phone (509) 525-5304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110207000196 WA Practitioner - Emergency MedicinePractitioner - Family Practice 0446430508 Reassigns benefits to 1 organization
I20140711001441 OR Practitioner - Family Practice 0446430508 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morrow County Health District Current Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Dec 30, 2014 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Dec 30, 2014 Accepting new patients
Morrow County Health District CurrentSince Sep 17, 2021 Accepting new patients
Morrow County Health District CurrentSince Sep 17, 2021 Accepting new patients
Beezley Springs Inpatient Services LLC Past Accepting new patients
Pend Oreille River Emergency Physicians PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pviavant687148@direct.multicare.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/piohosp-eec6c5e3
  • Direct secure messaging: peter.viavant.p1@direct.ritzville.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1c1bd3d4-4a26-4d40-b6ea-57e1e5c43016/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314489600000",
    "number": "1609965144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E LANGDON RD",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628593",
            "telephone_number": "509-525-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E LANGDON RD",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628593",
            "telephone_number": "509-525-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIAVANT",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00030493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.