Individual provider Active NPI

Peter C Way, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Eastland, TX
National Provider Identifier
1689603714
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
H8503 Issued in TX
Practice address
304 S Daugherty Ave
Eastland, TX 76448-2609
Phone
(254) 629-2601
NPI assigned
Jul 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X H8503 TX Primary

Addresses

Primary practice location

304 S Daugherty Ave
Eastland, TX 76448-2609

Mailing address

6131 Royalton Dr
Dallas, TX 75230-3443
Phone (214) 987-9820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000868 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 3678462363 Reassigns benefits to 8 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Staffing Solutions of West Texas LLC CurrentSince Nov 6, 2015 Accepting new patients
Ess of Lubbock, LLC CurrentSince Jul 31, 2022 Accepting new patients
HCC of Fairfield LLC CurrentSince Dec 27, 2022 Accepting new patients
Ess of Fairfield LLC CurrentSince Dec 27, 2022 Accepting new patients
Ess of Crockett, LLC CurrentSince Mar 13, 2023 Accepting new patients
Hospital Care Consultants, Inc CurrentSince Jul 17, 2015 Accepting new patients
Ess of Port Lavaca LLC CurrentSince Jul 1, 2020 Accepting new patients
Signature Emergency Care PA PastSince Sep 1, 2006 Accepting new patients
Sabine County Hospital District Past Accepting new patients
HCC Region II LLC PastSince Mar 1, 2008 Accepting new patients
Seminole Hospital District of Gaines County Texas Past Accepting new patients
Ellis Emergency Physicians PLLC Past Accepting new patients
Glen Rose Medical Foundation Past Accepting new patients

Locations

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

4810 N Loop 289
Lubbock, TX 79416
Phone (806) 687-7777

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

Interoperability endpoints

  • Direct secure messaging: fmcpway@yourcarecommunity.org
  • Direct secure messaging: peter.way.1@13131.direct.athenahealth.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689603714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 ROYALTON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303443",
            "telephone_number": "214-987-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S DAUGHERTY AVE",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482609",
            "telephone_number": "254-629-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "PETER",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "H8503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

Verify at the official NPI Registry.