NPIMap

Individual provider Active NPI

Guy Lander Peterson, D.O.

  • Emergency Medicine Physician
  • Edmond, OK
National Provider Identifier
1790097798
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4944 Issued in OK
Practice address
8125 NE 139TH St
Edmond, OK 73013-8703
Phone
(405) 396-2287
NPI assigned
Jul 7, 2010
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4944 OK Primary

Addresses

Primary practice location

8125 NE 139TH St
Edmond, OK 73013-8703

Mailing address

8125 NE 139TH St
Edmond, OK 73013
Phone (405) 396-2287

Other practice location 1

900 17th St
Woodward, OK 73801-2448
Phone (580) 772-5551

Other identifiers 1

IdentifierTypeStateIssuer
200294310AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124001206 OK Practitioner - Emergency Medicine 6002095973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Oklahoma PLLCGroup PAC ID 2264758705, 20 clinicians
South Central Emergency Services, PCGroup PAC ID 8224212949, 57 clinicians

Practice addresses (Care Compare)

2716 W Gore Blvd
Suite C
Lawton, OK 73505-6305
Phone (580) 357-3280

4509 Integris Pkwy
Edmond, OK 73034-8696
Phone (405) 604-4380

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 713-4565

5700 N Portland Ave
Suite 310
Oklahoma City, OK 73112-1648
Phone (405) 604-4380

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue395
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Farmers Union Hospital Association CurrentSince Oct 11, 2022 Accepting new patients
Healogics Specialty Physicians of Oklahoma, PLLC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Farmers Union Hospital Association CurrentSince Oct 11, 2022 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 19, 2013 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Integris Health Edmond, Inc Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

4509 Integris Pkwy
Ste 145
Edmond, OK 73034

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

2716 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 357-3280

3391 S I 35 Service Rd
Moore, OK 73160
Phone (405) 500-3330

300 S Rockwell Ave
Oklahoma City, OK 73128
Phone (405) 500-3430

4 NE 10th St
Oklahoma City, OK 73104
Phone (405) 996-2694

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: gpeterson71216@direct.integrisok.com
  • Direct secure messaging: guy.peterson.1@13869.direct.athenahealth.com

Organizations & group practices 11

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1790097798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 NE 139TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-396-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 NE 139TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138703",
            "telephone_number": "405-396-2287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 17th St",
            "address_purpose": "LOCATION",
            "city": "Woodward",
            "state": "OK",
            "postal_code": "738012448",
            "country_code": "US",
            "telephone_number": "580-772-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "GUY",
        "middle_name": "LANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200294310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.