Active NPI
Edward J Peters MD PA
- Allergy Physician
- Austin, TX
National Provider Identifier
1891000873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- F7045
- Legal business name
- EDWARD J PETERS MD PA
- Practice address
- 800 W 34TH St Ste 201
Austin, TX 78705-1146 - Phone
- (512) 454-5821
- NPI assigned
- Aug 13, 2010
- Last updated
- Aug 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward J Peters, MD
- Title
- Owner
- Phone
- (512) 454-5821
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | F7045 | TX | Primary |
Addresses
Primary practice location
800 W 34TH St Ste 201
Austin, TX 78705-1146
Mailing address
PO Box 163685
Austin, TX 78716-3685
Phone (512) 454-5821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127399701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Allergy & Immunology Physician
- Austin, TX
- NPI 1255342184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281657600000",
"number": "1891000873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163685",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787163685",
"telephone_number": "512-454-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 34TH ST STE 201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051146",
"telephone_number": "512-454-5821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD J PETERS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-13",
"last_updated": "2010-08-13",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-454-5821",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "TX",
"license": "F7045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127399701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Educare Community Living Limited Partnership
- Educare Community Living Normal Life Inc.
- Educare Community Living- Normal Life Inc.
- Education Service Center Region Xiii
- Edward Chafizadeh
- Edward S Lewis, Mdpa
- Edward's Home Health, Inc. (Edward's Home Health & Hospice)
- Edward's Home Health, Inc. (Edward's Home Health & Hospice)
- Edwards Health Care, Inc. (Edwards Home Health)
- Aimee Charlette Edwards-Hunter, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.