DR. RAY E. PETERS JR. (NPI# 1750328449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750328449 |
| Entity Type | Individual |
| Full Name | DR. RAY E. PETERS JR. |
| Credential | D.O |
| Practice Address |
221 Physicians Park Poplar Bluff MO 63901-3956 |
| Mailing Address |
Po Box 996 Hayden ID 83835-0996 |
| Practice Telephone | 2086644026 |
| Practice Fax Number | 8555325921 |
| Mailing Telephone | 2086644026 |
| Mailing Fax Number | 8555325921 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
R2C32 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 241654946 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154509982 | Ray F Peters | Specialist | 680 Heacock Rd, Suite 101, Yardley, PA 19067-6346 | 2008-02-04 |
| Street Address |
221 PHYSICIANS PARK |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845472 | Poplar Bluff Medical Partners, LLC | Clinic/Center | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-10-20 |
| 1033536974 | Ray E Peters Do Inc | Internal Medicine | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2014-03-27 |
| 1679859219 | Visionary Radiology, PC | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2011-10-27 |
| 1003007329 | Shirley A Jautz | Nurse Anesthetist, Certified Registered | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2007-08-05 |
| 1811030737 | Cathy Jo Parsells | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2007-02-14 |
| 1679550784 | Zubres Radiology Inc | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| 1932186004 | Donna L Almond | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| 1326025412 | Heartland Radiology, Inc. | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033536974 | Ray E Peters Do Inc | Internal Medicine | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2014-03-27 |
| 1700021847 | Kavitha Paramanathan | Internal Medicine | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2008-12-03 |
| 1275729550 | University Hematology Oncology Group Inc. | Internal Medicine | 2210 Barron Rd, Suite 117, Poplar Bluff, MO 63901-1908 | 2007-09-19 |
| 1306925565 | Ray E Peters D.o. | Internal Medicine | 2210 Barron Rd, Suite 110, Poplar Bluff, MO 63901-1908 | 2006-11-06 |
| 1326093022 | Juergen Bertram | Internal Medicine | 2210 Barron Rd, Suite 117, Poplar Bluff, MO 63901-1908 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1538564620 | Bader Alahmari | Internal Medicine | 660 South Euclid Avenue Campus Box 8007, St Louis, MO 63110 | 2014-10-31 |
| 1235480708 | James Michael Epstein | Internal Medicine | 12008 Heatherdane Dr, Saint Louis, MO 63131-3119 | 2012-09-25 |
| 1285920694 | Zhineng Jayson Yang | Internal Medicine | 2529 Glenn Hendren Dr Ste G30, Liberty, MO 64068-9610 | 2011-06-23 |
| 1477782092 | Tamara V Hopkins, Md, LLC | Internal Medicine | 2009 Saint Marys Blvd Ste A, Jefferson City, MO 65109-1509 | 2009-07-02 |
| 1457591463 | David Douglas Westhoff | Internal Medicine | 3605 Missouri Blvd, Jefferson City, MO 65109-7111 | 2009-03-03 |
| 1629224357 | Vinay Gupta | Internal Medicine | 110 Ne Saint Lukes Blvd Ste 500, Lees Summit, MO 64086-6075 | 2008-08-13 |
| 1942456058 | Anuj Shrestha | Internal Medicine | 2310 Holmes St Ste 500, Kansas City, MO 64108-2602 | 2008-08-09 |
| 1154580777 | Skaggs Community Hospital Association | Internal Medicine | 525 Branson Landing Blvd Ste 101, Branson, MO 65616-2052 | 2008-06-09 |
| 1326235797 | Getinet Degu Ayalew | Internal Medicine | 12277 De Paul Dr Ste 100, Bridgeton, MO 63044-2577 | 2007-10-01 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.