Randall Peters is a Surgery in Carthage, Illinois. Randall Peters practices all healthcare services and medical treatments related to Surgery. The NPI Number for Randall Peters is 1306872320. The last update date is 2013-06-12.
Randall Peters's current location address is 1454 N County Road 2050, Carthage, Illinois. You can contact this provider via phone number 2173578500. The mailing address for Randall Peters is 1454 N County Road 2050, Carthage, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Peters |
|---|---|
| Address | 1454 N County Road 2050, Carthage, Illinois |
| Phone Number | 2173578500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306872320 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2013-06-12 |
Provider Mailing Address Detail
| Address | 1454 N County Road 2050 |
|---|---|
| City | Carthage |
| State | Illinois (IL) |
| Post Code | 623213551 |
| Phone Number | 2173578500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 47297 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34596200 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randall Peters?
The Randall Peters has been issued the NPI (National Provider Identifier) 1306872320 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Randall Peters is physically located?
The Randall Peters is situated at the following address: 1454 N County Road 2050, Carthage, IL 623213551.
What is the Randall Peters's area of specialization and corresponding taxonomy classification?
The Randall Peters's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306872320 to Randall Peters?
The Centers for Medicare & Medicaid Services originally issued the 1306872320 to Randall Peters on 2006-06-23.
As of what date were the Randall Peters's details last updated?
The information pertaining to the Randall Peters, including its address, specialty, and other details, was most recently updated on 2013-06-12.