John L Peterson MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

39812 Issued in NC

Legal business name

JOHN L PETERSON MD

Practice address

300 Ashville Ave
Suite 310
Cary, NC 27518-8682

Phone

(919) 233-8585

Fax

(919) 233-8566

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Meghan Kelly

Title

Office Manager RN

Phone

(919) 233-8585

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Waverly Hematology Oncology Other name

Tax ID family

John L Peterson MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Independent Hematology and Oncology Associates, P.a.

  • Hematology & Oncology Physician
  • Cary, NC
  • NPI 1700976628
  NPD tax ID
• John L Peterson MD

  • Hematology & Oncology Physician
  • Sanford, NC
  • NPI 1801896766
  NPD tax ID

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619977568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ASHVILLE AVE",
            "address_2": "SUITE 310",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188682",
            "telephone_number": "919-233-8585",
            "fax_number": "919-233-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ASHVILLE AVE",
            "address_2": "SUITE 310",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188682",
            "telephone_number": "919-233-8585",
            "fax_number": "919-233-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L PETERSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OFFICE MANAGER RN",
        "authorized_official_telephone_number": "919-233-8585"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "39812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016H4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waverly Hematology Oncology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jinyi Kwon, DDS, PA
• Joanna P Evans LCSW PLLC
• Joshua David Jobes, DPT
• Jody Probert LCSW PLLC
• John a. Anderson, Psy.D., Inc.
• Lucy John
• Chelsea Johns, RBT
• Aaquliah Johnson
• Addison Veronica Johnson
• Alexandra Kesler Johnson, MSN, NNP-BC

• Hematology & Oncology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.