Alan Peterson, MD
Individual provider Active NPI Family Medicine Physician · Quarryville, PA
NPI 1699713495 · NPPES record last updated Apr 12, 2011
Key facts
- NPI
- 1699713495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD014323E (PA)
- Practice address
- 317 S Chestnut St
Quarryville, PA 17566-1344 - Phone
- (717) 786-7383
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD014323E | PA | Yes |
Addresses
Primary practice location
317 S Chestnut St
Quarryville, PA 17566-1344
Mailing address
555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006850290003 | Other | PA | RR MEDICARE |
| 0006850290003 | Medicaid | PA | |
| 30027962 | Other | PA | KEYSTONE MERCY |
| 000000127269 | Other | PA | UNISON |
| 000000127269 | Other | PA | GATEWAY |
| 0038488000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 0555758 | Other | PA | AETNA-HMO |
| 100364D | Other | PA | MERCY |
| 5898345 | Other | PA | AETNA-NON HMO |
| 7376572 | Other | PA | CIGNA |
| 50055854 | Other | PA | CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL |
| 000142601 | Other | PA | HIGHMARK |
| 35903 | Other | PA | GEISINGER |
Other providers in Quarryville, PA
- Heather Marie Nelson-Przywara
- Shane S Obrien
- Krispinus Ombasa
- Samantha Ouellet
- James Emory Pennington Jr.
- Pinnacle Health Regional Physicians
- Ashley R Pizzimenti
- Kayla Prange
- Quarryville Eyecare, LLC
- Quarryville Family Foot Care, P.C.
All providers in Quarryville, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.