Peter Fonseca MD, PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

116658 Issued in MO

Legal business name

PETER FONSECA MD, PC

Practice address

10004 Kennerly
Suite 345a
St. Louis, MO 63128

Phone

(314) 543-5252

Fax

(314) 543-5211

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter Fonseca, MD

Title

President

Phone

(314) 543-5252

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1801008396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY",
            "address_2": "SUITE 345A",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-543-5252",
            "fax_number": "314-543-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY",
            "address_2": "SUITE 345A",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-543-5252",
            "fax_number": "314-543-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER FONSECA MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "116658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Pestronk, MD
• Adam Peszek, MD
• Gillian Clare Pet, MD
• Mitchell Andrew Pet, MD
• Peter & Paul Community Service
• Peter J Spalitto, DDS, PC
• David A Peter, M.D.
• John R Peter, MD
• Brittany Megan Peterein, FNP
• Jessica Peterein, AU.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.