Ambrose B Peterman III, DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

OS004830L Issued in PA

Practice address

545 E High St
Pottstown, PA 19464-5677

Phone

(610) 327-1785

Fax

(610) 327-1414

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: abpeterman3@direct-address.net

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1619938529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645677",
            "telephone_number": "610-327-1785",
            "fax_number": "610-327-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645677",
            "telephone_number": "610-327-1785",
            "fax_number": "610-327-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "AMBROSE",
        "middle_name": "B",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS004830L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Spine and Sports Physicians, PC
• Dominic Pergolese, RN
• Michael D Perilstein, MD
• Karoline Margaret Perry, P.T.
• Markus Person
• Erin Kathryn Woltjen Peterman, MSN, CPNP-PC
• Jessica L Peticca, MA
• Patrick A. Petrillo, D.D.S.
• Victor Petrowsky, PTA
• Anthony Petrucci IV, DC

• Geriatric Medicine (Family Medicine) Physician in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Geriatric Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.