Melissa Peters, D.O. PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5156 Issued in AK

Legal business name

MELISSA PETERS, D.O. PC

Practice address

950 Bogard Rd
Suite 226
Wasilla, AK 99654-7105

Phone

(907) 376-2868

NPI assigned

Jun 27, 2006

Last updated

Jun 30, 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

Melissa Peters, D.O.

Title

Physician

Phone

(907) 376-2843

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1881621860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BOGARD RD",
            "address_2": "SUITE 226",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547105",
            "telephone_number": "907-376-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BOGARD RD",
            "address_2": "SUITE 226",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547105",
            "telephone_number": "907-376-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA PETERS, D.O. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "907-376-2843",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "5156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3818",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Mee
• Elizabeth Meier
• Ann E Meinhardt, CRT
• Anna Meisel
• Brittney Mejia
• Elvira E Mendes, CNA OWNER
• Carley Rose Mendiola
• Courtney Meneses
• Audrianna Nicole Mengel, CARE COORDINATOR
• Wesley Albert Mennear, DPT

• Internal Medicine Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Internal Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.