Alan P Peter, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101014745 Issued in MI

Practice address

16800 24 Mile Rd
Macomb, MI 48042-2990

Phone

(586) 992-9970

Fax

(586) 992-9972

NPI assigned

Oct 27, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230422400000",
    "number": "1922098193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 24 MILE RD",
            "address_2": "SUITE 4",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422990",
            "telephone_number": "586-992-9970",
            "fax_number": "586-992-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 24 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422990",
            "telephone_number": "586-992-9970",
            "fax_number": "586-992-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "ALAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0855010815",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114933018",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Penn, PT, DPT
• Perceptions Therapy L.L.C.
• Bogdan Peres
• David Alan Perkins, LMSW
• Nicholas Perry
• Mark Petri
• Nina Petrykowski
• Karen Pfuerstinger, LLPC
• Alita Pharr-Ross
• Susan V Phillips, MPT

• Family Medicine Physician in Macomb, MI
• Providers in Macomb, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.