DR. JOHN STEWART PETERS D.O. NPI 1013004860

Dermatology (Procedural Dermatology) in Fort Rucker, AL

NPI 1013004860 Individual Male Years of Experience 26 Dermatology Procedural Dermatology PECOS Enrolled Accepts Medicare Approved Payment

About JOHN PETERS

John Peters is a provider established in Fort Rucker, Alabama and his medical specialization is dermatology (procedural dermatology) with more than 26 years of experience. He graduated from West Virginia School Of Osteopathic Medicine in 1996. The NPI number of John Peters is 1013004860 and was assigned on October 2006. The practitioner's primary taxonomy code is 207NS0135X with license number 045315 (GA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

John Peters is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

John Peters is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1013004860

Provider NameDR. JOHN STEWART PETERS D.O.
Provider Location Address301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC FORT RUCKER, AL 36362
Provider Mailing Address301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC FORT RUCKER, AL 36362
GenderMale
NPI Entity TypeIndividual
Medical School NameWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year1996
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-05-2006
Last Update Date05-15-2015


Primary Taxonomy

Taxonomy Code207NS0135X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
SpecializationProcedural Dermatology
License No.045315
License StateGA
Taxonomy DescriptionProcedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Business Address

DR. JOHN STEWART PETERS D.O.
301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7040
Fax: (334) 255-7716

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Mailing Address

DR. JOHN STEWART PETERS D.O.
301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7040
Fax: (334) 255-7716



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407845589DR. CRAIG BRIAN COLLIER M.D.
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7363
1467441600DR. RONDA FOWLER CARTER M.D.
Individual
Family Medicine301 ANDREWS AVE
FT. RUCKER, AL 36362
(334) 255-7387
1184605701MS. DEBORAH ANNE DELK ARNP-C
Individual
Nurse Practitioner (Obstetrics & Gynecology)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362
(334) 255-7387
1023099421MR. VIRGIL THOMAS SPEECE APA-C
Individual
Physician Assistant301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7387
1316929029DR. JAMES STUART MCGHEE M.D.
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT RUCKER, AL 36362
(334) 255-7387
1275517344DR. JOSEPH FRANCIS MCKEON MD
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1558347401 KATHY OLBETER PA-C
Individual
Physician Assistant (Medical)301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362
(334) 255-7387
1720058951DR. JUSTIN TREVOR WOODSON MD
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1265403125MRS. BELINDA MARIANNE JELLISON LPC
Individual
Marriage & Family Therapist301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7028
1467410209DR. JIMMY CHRISTOPHER MCNEAL O.D.
Individual
Optometrist301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC - EENT
FORT RUCKER, AL 36362
(334) 255-7185
1689606709 WILLIE EARL SALLIS PA
Individual
Physician Assistant301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC BLDING
FORT RUCKER, AL 36362
(334) 255-7349
1558396457DR. JOHN STEPHEN CROWLEY MD
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1942349527DR. DIANE MICHELLE ZIERHOFFER PHD
Individual
Psychologist (Counseling)301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1245420439 KATHLEEN LOUISE SOPP R.D.
Individual
Dietitian, Registered301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7387
1386822096MRS. JOAN L FINDEISEN LPN
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7930
1821266610MS. TINA MARIE MAULDIN
Individual
Registered Nurse301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7741
1407024243 PATRICIA A SMITH RN
Individual
Registered Nurse301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7577
1285802017 CAROLYN PETERSON
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT. RUCKER, AL 36362
(334) 255-7883
1467620294 CLIFTON O COX
Individual
Licensed Practical Nurse301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7883
1063680734 SHANICE COLEMAN MEDICAL ASSISTANT
Individual
Technician301 ANDREWS AVE
FT. RUCKER, AL 36362
(333) 255-7755

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.