Organization Active NPI

Willaim J Pegg, MD, PC

  • Obstetrics & Gynecology Physician
  • Hyannis, MA
National Provider Identifier
1740479807
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
59534 Issued in MA
Legal business name
WILLAIM J PEGG, MD, PC
Practice address
26 Gleason St
Hyannis, MA 02601-5223
Phone
(507) 771-4850
Fax
(508) 771-3658
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
William J Pegg, MD
Title
President
Phone
(508) 771-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 59534 MA Primary

Addresses

Primary practice location

26 Gleason St
Hyannis, MA 02601-5223

Mailing address

PO Box 2460
Teaticket, MA 02536-2460
Phone (508) 548-3699

Other identifiers 4

IdentifierTypeStateIssuer
M18057OtherMABLUE SHIELD
131526OtherMAHARVARD PILGRIM
729704OtherMATUFTS
9725890MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1740479807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2460",
            "city": "TEATICKET",
            "state": "MA",
            "postal_code": "025362460",
            "telephone_number": "508-548-3699",
            "fax_number": "508-548-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GLEASON ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015223",
            "telephone_number": "507-771-4850",
            "fax_number": "508-771-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAIM J PEGG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PEGG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-771-4850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "59534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M18057",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "131526",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "729704",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9725890",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.