Robert L Peets, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

BP2856334 Issued in OH

Practice address

8216 N Main St
Dayton, OH 45415-1641

Phone

(937) 898-2300

Fax

(937) 898-2348

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1720085236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151641",
            "telephone_number": "937-898-2300",
            "fax_number": "937-898-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8216 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151641",
            "telephone_number": "937-898-2300",
            "fax_number": "937-898-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEETS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "BP2856334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129515",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000019509",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0820241",
            "identifier": "UHC",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Ohio Corp
• Barry Scott Pedicord, D.C.
• Michael Joseph Pedoto, MD
• Kelsey Peege, DMD
• Ivory Peek
• Nicholas John Pekas
• Pelle Chiropractic LLC
• Domenico G Pelle, B.S., D.C.
• Bridget Catherine Pellegrino, MS, RD, LD
• David Pelletier, DC

• Ophthalmology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.