F Charles Petr Jr., MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H2684 Issued in TX

Practice address

401 Austin Hwy
Ste 110
San Antonio, TX 78209-4640

Phone

(210) 656-3376

Fax

(210) 656-4864

NPI assigned

Mar 16, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment NPD
• Dermatology Associates

  • Dermatology Physician
  • Houston, TX
  • NPI 1356523039
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1760451389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 AUSTIN HWY",
            "address_2": "STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094640",
            "telephone_number": "210-656-3376",
            "fax_number": "210-656-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 AUSTIN HWY",
            "address_2": "STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094640",
            "telephone_number": "210-656-3376",
            "fax_number": "210-656-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETR",
        "first_name": "F",
        "middle_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H2684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Peterson, PSY.D.
• Timothy W. Peterson, D.C.
• Ward W Peterson, D.C.
• James Daniel Petley, DO
• Leila Petok
• Petra Health, Inc. (Total Home Health)
• Carson Cope Petrash, MD
• Wade Petree, PSYD
• Matei Stefan Petrescu, MD
• Francesca Petrey, DPT,OCS

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.