Peter Wasserman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7421 Issued in NH

Practice address

248 Pleasant St
Ste 1600
Concord, NH 03301-2588

Phone

(603) 224-2020

Fax

(603) 228-0248

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concord Eye Care PC

  • Ophthalmology Physician
  • Concord, NH
  • NPI 1942302377
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1902807811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "STE 1600",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-224-2020",
            "fax_number": "603-228-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "STE 1600",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-224-2020",
            "fax_number": "603-228-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "7421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30001567",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5720286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "29520",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0103688Y0N1101",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "180026403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Warner, MPH, RD, LD
• Marguerite Warner, MSPT
• Warren D. Fitzgerald PHD PA
• Warren Street Family Counseling Assoc Inc
• Izabella Warren
• Amy Charron Watson, M.D.
• Katelyn P. Watson, PA-C
• Leah Watson, MS
• Robert Karl Watson, NP
• Alexander Wawrzyniak, BA

• Ophthalmology Physician in Concord, NH
• Providers in Concord, NH by specialty
• Ophthalmology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.