Peter J Damico MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PETER J DAMICO MD PA

Practice address

6010 Curzon Ave
Fort Worth, TX 76116-5531

Phone

(817) 738-9268

Fax

(817) 738-9271

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By 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

Dr. Peter J Damico, MDNPI 1821022401

Title

President

Phone

(817) 738-9268

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter J Damico, M.D

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821022401
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1851793988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 CURZON AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165531",
            "telephone_number": "817-738-9268",
            "fax_number": "817-738-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 CURZON AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165531",
            "telephone_number": "817-738-9268",
            "fax_number": "817-738-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J DAMICO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "DAMICO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-738-9268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080018812",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114601102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C Martin Persons, M.D.
• James Anderson Persson, COTA
• Theresa Mary Pescatello, RDH
• Don N Peska, DO
• Peter G. McDougall M.D.
• Mallory Brooke Peterman, LPC-A
• Lauren Peters, DO
• Oludotun Oluyemi Peters, PMHNP
• Yolanda R Peters, S.L.P.
• Melissa Edwards Petersen, PHD

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.