Timothy A Peters in Plymouth - Family Medicine
Timothy A Peters - NPI 1285662171
Timothy A Peters is a Family Medicine in Plymouth, Indiana. Timothy A Peters practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy A Peters is 1285662171. The last update date is 2015-05-08.
Timothy A Peters's current location address is 1919 Lake Ave, Plymouth, Indiana. You can contact this provider via phone number 5749412929 and fax number 5749413008. The mailing address for Timothy A Peters is 1919 Lake Ave, Plymouth, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy A Peters |
|---|---|
| Address | 1919 Lake Ave, Plymouth, Indiana |
| Phone Number | 5749412929 |
| Fax Number | 5749413008 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285662171 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2015-05-08 |
Provider Mailing Address Detail
| Address | 1919 Lake Ave |
|---|---|
| City | Plymouth |
| State | Indiana (IN) |
| Post Code | 4656378300 |
| Phone Number | 5749412929 |
| Fax Number | 5749413008 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1043381 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 659776 | IN | BCBS | |
| 100380540 | IN | -- | |
| 100380540A | IN | -- | |
| 216162 | IN | BCBS |
Post Comment/ Review Below
What is the Timothy A Peters's 1285662171?
The Timothy A Peters's NPI (National Provider Identifier) Number is 1285662171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Timothy A Peters?
The Timothy A Peters is physically situated at 1919 Lake Ave, in the city of Plymouth, state of IN, with the postal code 4656378300.
What is Timothy A Peters's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Timothy A Peters is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285662171 to Timothy A Peters?
The Centers for Medicare & Medicaid Services assigned the 1285662171 to Timothy A Peters on 2006-06-29.
As of what date were the Timothy A Peters's details last updated?
The information pertaining to the Timothy A Peters, including its address, specialty, and other details, was most recently updated on 2015-05-08.