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MR. PETER BOETTGER PA
NPI 1174509541
Physician Assistant - Medical in Greenville, NC

Active since December 19, 2005
600 MOYE BLVD, LEO JENKINS CANCER CENTER, GREENVILLE, NC 27858(252) 744-2383(252) 744-3565 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Peter Boettger Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER BOETTGER PA (NPI 1174509541) is an individual medical provider in Greenville, North Carolina, licensed in North Carolina (100862) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1174509541
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. PETER BOETTGERCredential: PA
Location Address600 MOYE BLVD, LEO JENKINS CANCER CENTERGreenville, NC 27858
Mailing AddressPo Box 751069Charlotte, NC 28275-1069 · (252) 744-3253 · Fax (252) 744-3194
Phone(252) 744-2383
Fax(252) 744-3565
Sole ProprietorNo
Enumeration DateDecember 19, 2005
Last NPPES UpdateMarch 4, 2015
✔ NPI 1174509541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 100862
600 MOYE BLVD, Greenville, NC 27858
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN2746636NC
Other970005706NC · Railroad Medicare
Medicare UPINS55570NC

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LARRY KING PA
Physician Assistant (Surgical)
600 MOYE BLVD, CARDIOTHORACIC OUTPATIENT CLINIC - DEPT. OF SURGERY
GREENVILLE, NC 27858
Pitt County (252) 744-4822
DR. ANTHONY C SMITH MD
Hospitalist
600 MOYE BLVD, BRODY OUTPATIENT CENTER
GREENVILLE, NC 27858
Pitt County (252) 744-2207
DR. CAROL H WEITZ
Internal Medicine (Hematology & Oncology)
600 MOYE BLVD, LEO JENKINS CANCER CENTER
GREENVILLE, NC 27858
Pitt County (252) 744-2383
MS. MARIA-ANGELICA TAYLOR PA-C
Physician Assistant (Medical)
600 MOYE BLVD, PEDIATRIC OUTPATIENT CENTER
GREENVILLE, NC 27858
Pitt County (252) 744-2335
DR. ALBERT L WILEY JR. MD, PHD
Radiology (Radiation Oncology)
600 MOYE BLVD, LEO JENKINS CANCER CENTER
GREENVILLE, NC 27858
Pitt County (252) 744-2900
MS. LINDA BOETTGER PA
Physician Assistant (Medical)
600 MOYE BLVD, BRODY OUTPATIENT CENTER
GREEENVILLE, NC 27858
Pitt County (252) 744-2207
DR. ARTHUR E KOPELMAN MD
Pediatrics (Neonatal-Perinatal Medicine)
600 MOYE BLVD, PEDIATRIC OUTPATIENT CENTER
GREENVILLE, NC 27858
Pitt County (252) 744-2335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Boettger's NPI number?

The NPI number for Peter Boettger is 1174509541. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Peter Boettger located?

Peter Boettger practices at 600 Moye Blvd Leo Jenkins Cancer Center, Greenville, NC 27858. The listed phone number is (252) 744-2383.

What is Peter Boettger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Peter Boettger was last updated on March 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.