Peter T Demos MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PETER T DEMOS MD

Doing business as

Demos Dermatology

Practice address

125 Liberty St Ste 403
Springfield, MA 01103-1109

Phone

(413) 739-6611

Fax

(413) 733-1059

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michael Demos, MD

Title

Manager

Phone

(413) 739-6611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DEMOS DERMATOLOGY Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter T Demos, M.D.

  • Dermatology Physician
  • Springfield, MA
  • NPI 1619977402
  NPD
• Sage Kenyon Dow, CNP

  • Family Nurse Practitioner
  • Springfield, MA
  • NPI 1871009886
  NPD
• Harmony Hopkins, NP

  • Family Nurse Practitioner
  • Agawam, MA
  • NPI 1922522895
  NPD

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1669090445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 403",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109",
            "telephone_number": "413-739-6611",
            "fax_number": "413-733-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 403",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031109",
            "telephone_number": "413-739-6611",
            "fax_number": "413-733-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T DEMOS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "DEMOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "413-739-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110161707A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEMOS DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Personal Primary Care and Weight Management, LLC
• Adam Pesaturo, PHARM.D.
• Marie Pessin
• Kristen R Pessolano, DPT
• Frinee Pestana
• J Mark Peterman, MD
• Chavae Peters-White, OTD, OTR/L
• Allison Peters
• Andromeda Peters, B.A.
• Brenda Peters, M.S.

• Dermatology Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.