Michael L Peaster M D P C

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

23383 Issued in OK

Legal business name

MICHAEL L PEASTER M D P C

Practice address

500 E 5TH St
Bartlesville, OK 74003-3909

Phone

(918) 338-3800

Fax

(918) 336-1505

NPI assigned

Nov 3, 2006

Last updated

Feb 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Leon Peaster, M.D.NPI 1437137288

Title

Owner

Phone

(918) 338-3800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Leon Peaster, M.D.

  • Urology Physician
  • Bartlesville, OK
  • NPI 1437137288
  Authorized official Same address or phone

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1992884894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 5TH ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033909",
            "telephone_number": "918-338-3800",
            "fax_number": "918-336-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 5TH ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033909",
            "telephone_number": "918-338-3800",
            "fax_number": "918-336-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L PEASTER M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "PEASTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-338-3800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OK",
            "license": "23383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Urology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.