John R Peters, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0042773 Issued in MD

Practice address

2900 Ascott LN
Olney, MD 20832-2626

Phone

(301) 774-1350

NPI assigned

Sep 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1790019792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 ASCOTT LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322626",
            "telephone_number": "301-774-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 ASCOTT LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322626",
            "telephone_number": "301-774-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0042773",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101052347",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "D0042773",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula E Bourelly MD Associates LLC
• Jessica Payne
• Pediatrix Medical Group of the Mid-Atlantic PC
• Reyna Jasmin Perez-Arreaga
• Iris Ivette Perez-Greene, NP
• Melinda Peterson, PA-C
• Tu A Phan, DDS
• Hilary R Phillips
• PHS Orhthopaedics Olney
• Physician Imaging of Washington Hospital Center, LLC

• Family Medicine Physician in Olney, MD
• Providers in Olney, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.