Donald R. Peters, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00017156 Issued in WA

Practice address

1321 Colby Avenue
Providence Everett Medical Center
Everett, WA 98206

Phone

(425) 261-2000

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Everett Radia LLC

  • Diagnostic Radiology Physician
  • Everett, WA
  • NPI 1578550240
  NPD (past)
• Evergreen Radia LLC

  • Diagnostic Radiology Physician
  • Kirkland, WA
  • NPI 1922095694
  NPD (past)
• Public Hospital District No 4 King County Washington

  • Rural Health Clinic/Center
  • Snoqualmie, WA
  • NPI 1558869289
  NPD (past)
• Public Hospital District No 4 King County Washington

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  NPD (past)
• Public Hospital District No 4, King County Wa

  • Family Medicine Physician
  • Snoqualmie, WA
  • NPI 1144432634
  NPD (past)
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607
  NPD (past)
• Swedish First Hill Diagnostic Imaging, LLC

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1801938048
  NPD (past)
• Swedish Medical Center-Radia Issaquah Imaging Center LLC

  • Diagnostic Radiology Physician
  • Issaquah, WA
  • NPI 1427001312
  NPD (past)
• Swedish Radia Imaging Center at Edmonds LLC

  • Diagnostic Radiology Physician
  • Edmonds, WA
  • NPI 1164494373
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1639157191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 134TH ST SW",
            "address_2": "SUITE 120",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045322",
            "telephone_number": "425-297-6200",
            "fax_number": "425-297-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 COLBY AVENUE",
            "address_2": "PROVIDENCE EVERETT MEDICAL CENTER",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98206",
            "telephone_number": "425-261-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DONALD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00017156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "115853",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "202193",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "202192",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8197303",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00368477",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Dolores Perry
• Linda Hawkins Persson, R.D.
• Hannah E. Persyn
• Peter J. Hanson, P.C.
• Peter M. Pellegrini, DDS, Ms, P.S.
• Kenneth Lee Peters, M.A.
• Kristine Peters
• Stephanie Peters
• Darwin Petersen
• Misty Petersen

• Diagnostic Radiology Physician in Everett, WA
• Providers in Everett, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.