John L Peterson MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

38166 Issued in NC

Legal business name

JOHN L PETERSON MD

Practice address

1013 Carthage St
Sanford, NC 27330-4114

Phone

(919) 775-8183

Fax

(919) 775-8152

NPI assigned

Jul 21, 2005

Last updated

Jan 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Faircloth

Title

Office Manager

Phone

(919) 775-8183

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

John L Peterson MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Independent Hematology and Oncology Associates, P.a.

  • Hematology & Oncology Physician
  • Cary, NC
  • NPI 1700976628
  NPD tax ID
• John L Peterson MD

  • Hematology & Oncology Physician
  • Cary, NC
  • NPI 1619977568
  NPD tax ID

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1801896766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304114",
            "telephone_number": "919-775-8183",
            "fax_number": "919-775-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304114",
            "telephone_number": "919-775-8183",
            "fax_number": "919-775-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L PETERSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOTH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-775-8183"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "38166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890230F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Jefferys
• Jeffrey Love DDS
• Amanda Jewell
• Vindya Jeyaretnam, DO
• Johnathon Richard Jochum, M.D.
• Brettny John
• Johnson Owens Transportation LLC
• Alivia Nicole Johnson
• Imani Nia Johnson, MS, MSW, LCSWA
• May PA Tha Johnson

• Hematology & Oncology Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.