George Dwight Peterson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0065007 Issued in FL

Practice address

5450 Macdonald Avenue
Suite 12
Key West, FL 33040

Phone

(305) 293-9555

Fax

(305) 293-9415

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/GynecologyAlso: General Practice

Education

Ponce School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lower Keys Medical Center Hospital, Key West, FL, CCN 100150

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: george.peterson.1@2581.direct.athenahealth.com

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.

• George D Peterson MD PA

  • Specialist
  • Key West, FL
  • NPI 1073750634
  Medicare reassignment Authorized official
• Community Health of South Florida Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1336152347
  Medicare reassignment NPD
• Community Health of South Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Key Largo, FL
  • NPI 1417704198
  NPD
• Community Health of South Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • South Miami, FL
  • NPI 1336583004
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Key West Hma LLC

  dba Lower Keys Medical Center

  • General Acute Care Hospital
  • Key West, FL
  • NPI 1619922077
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1942397799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 MACDONALD AVENUE",
            "address_2": "SUITE 12",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-293-9555",
            "fax_number": "305-293-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 MACDONALD AVENUE",
            "address_2": "SUITE 12",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-293-9555",
            "fax_number": "305-293-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "GEORGE",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0065007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373887600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lyn Perez, L.P.N.
• Alaina Dehlin Perry, BS
• David C Perry, MD
• Jordyn Rae Perry, LMT
• Peter Q Warinner, MD, PA
• Nicholas Petrinec, D.O.
• Marcel Amber Petro
• Hy Gia Pham, D.O.
• Steven Richard Phillips, PT
• Physical Therapy in Motion LLC

• Specialist in Key West, FL
• Providers in Key West, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.