Organization Active NPI

John C Peyton MD

  • Internal Medicine Physician
  • Rusk, TX
National Provider Identifier
1942484506
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D5152 Issued in TX
Legal business name
JOHN C PEYTON MD
Practice address
1400 Hwy 84 West
Suite 6
Rusk, TX 75785-7027
Phone
(903) 683-1825
Fax
(903) 683-1556
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
John C Peyton, MD
Title
Doctor
Phone
(903) 683-1825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D5152 TX Primary

Addresses

Primary practice location

1400 Hwy 84 West
Suite 6
Rusk, TX 75785-7027

Mailing address

PO Box 1027
Rusk, TX 75785-7027
Phone (903) 683-1825

Other identifiers 1

IdentifierTypeStateIssuer
00758GOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1400 W 6th St
Rusk, TX 75785
Phone (903) 683-1825

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1942484506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757857027",
            "telephone_number": "903-683-1825",
            "fax_number": "903-683-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HWY 84 WEST",
            "address_2": "SUITE 6",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757857027",
            "telephone_number": "903-683-1825",
            "fax_number": "903-683-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C PEYTON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "PEYTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "903-683-1825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D5152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00758G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rusk, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.