Michael D Peters (NPI# 1194775429, PAC ID# 0042106650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1194775429 |
| PAC ID by PECOS | 0042106650 |
| Professional Enrollment ID | I20060616000002 |
| Full Name | Michael D Peters |
| Organization Legal Name | COASTAL CAROLINA ENT DO PA |
| Address |
302 Liberty St Whiteville NC 28472-3714 |
| Phone Number | 9109140540 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1996 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 8325082498 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420105 | MCLEOD LORIS HOSPITAL |
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3806 Sawtell Rd, Little River, SC 29566-7873 | 8436639090 | COASTAL CAROLINA ENT DO PA |
| 302 Liberty St, Whiteville, NC 28472-3714 | 9109140540 | COASTAL CAROLINA ENT DO PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COASTAL CAROLINA ENT DO PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik L Kenyon | Otolaryngology | Coastal Carolina Ent Do Pa | 302 Liberty St, Whiteville, NC 28472-3714 |
| James Dimuzio Jr. | Otolaryngology | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Marie M Wheatley | Nurse Practitioner | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Jeffrey Coury | Otolaryngology | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Jayna Shashikant Patel | Otolaryngology | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Street Address |
302 LIBERTY ST |
| City | WHITEVILLE |
| State | NC |
| Zip | 28472-3714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik L Kenyon | Otolaryngology | Coastal Carolina Ent Do Pa | 302 Liberty St, Whiteville, NC 28472-3714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clyde A Epps | Physician Assistant | Dry Bones Counseling Services Pllc | 109 W Nance St, Whiteville, NC 28472-2615 |
| Michele Annette Girard | Clinical Social Worker | Dry Bones Counseling Services Pllc | 109 W Nance St, Whiteville, NC 28472-2615 |
| Richard C Fleming | Internal Medicine | 116 Memory Plaza Washington St, Whiteville, NC 28472-2640 | |
| Angel L Vazquez | Psychiatry | Rha Behavioral Health Nc LLC | 603 Pecan Ln, Whiteville, NC 28472-2949 |
| Diane White | Internal Medicine | Allied Behavioral Management, Inc. | 603 Pecan Ln, Whiteville, NC 28472-2949 |
| Nicole H Britt | Nurse Practitioner | North Whiteville Urgent Care and Family Practice Pa | 614 N Jk Powell Blvd, Whiteville, NC 28472-3008 |
| Nathan Jarrett Norris | Physical Therapy | Renew Health and Physical Therapy, LLC | 812 Pinckney St, Whiteville, NC 28472-3308 |
| Micah G Merritt | Physical Therapy | Renew Health and Physical Therapy, LLC | 812 Pinckney St, Whiteville, NC 28472-3308 |
| Krystie N Price Butler | Physical Therapy | Renew Health and Physical Therapy, LLC | 812 Pinckney St, Whiteville, NC 28472-3308 |
| Michael L Cahn | General Surgery | 611 N Madison St, Whiteville, NC 28472-3309 | |
| Find all physicians in zip 28472 | |||
| City | WHITEVILLE |
| Zip Code | 28472 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | WHITEVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Michael D Peters.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.