Active NPI
Peter Milder, MD
- Family Medicine Physician
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10168R
- Practice address
- 2108 Texas Ave
Suite 3080
Alexandria, LA 71301-3944 - Phone
- (318) 442-5758
- Fax
- (318) 445-7210
- NPI assigned
- May 24, 2005
- Last updated
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10168R | LA | Primary |
Addresses
Primary practice location
2108 Texas Ave
Suite 3080
Alexandria, LA 71301-3944
Mailing address
919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1979201 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10168R | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
Locations
802 E 3rd St
Hope, AR 71801
Phone (870) 722-1020
2108 Texas Ave
Ste 3080
Alexandria, LA 71301
Phone (318) 442-5758
3311 Prescott Rd
Ste 410
Alexandria, LA 71301
Phone (318) 442-2400
1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
919 Hidden Rdg
Irving, TX 75038
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- pmilder242859@christushealth.direct-ci.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHRISTUS Physician Group
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
LA
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
LA
-
dba CHRISTUS Physician Group
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1952304776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 HIDDEN RDG",
"city": "IRVING",
"state": "TX",
"postal_code": "750383813",
"telephone_number": "469-282-2711",
"fax_number": "469-282-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 TEXAS AVE",
"address_2": "SUITE 3080",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013944",
"telephone_number": "318-442-5758",
"fax_number": "318-445-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILDER",
"first_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "10168R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1979201",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
- Taylor Middlebrooks, PT
- Middleton Medical Corporation
- Sylvia Arredondo Middleton, L.C.S.W.
- Midsouth Medical, Inc.
- Miguel a Garcia-Caro MD LLC (Central Louisiana Rheumatology and Infusion Center)
- Miller Physical Therapy Inc
- Traci Denise Miller-Earl, LCSW
- Barbara Miller, RN
- Janice Marie Miller, LPC
- Kaitlin Harris Miller, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.