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TIMOTHY A PETERS M.D.
NPI 1285662171
Family Medicine in Plymouth, IN

Active since June 29, 2006
1919 LAKE AVE, SUITE 104, PLYMOUTH, IN 46563(574) 941-2929(574) 941-3008 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy A Peters M.d. NPPES

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

TIMOTHY A PETERS M.D. (NPI 1285662171) is an individual family medicine provider in Plymouth, Indiana, licensed in Indiana (01043381) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1285662171
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY A PETERSCredential: M.D.
Location Address1919 LAKE AVE, SUITE 104Plymouth, IN 46563-7830
Mailing AddressPo Box 6309South Bend, IN 46660-6309 · (574) 335-8700 · Fax (574) 335-0760
Phone(574) 941-2929
Fax(574) 941-3008
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateMay 8, 2015
✔ NPI 1285662171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01043381
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01043381 (IN)
1919 LAKE AVE, Plymouth, IN 46563
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Other Identifiers 8

Other000000659776IN · Bcbs
Medicare PIN080181785IN
Medicare PINM400019009IN
Other000000216162IN · Bcbs
Medicare UPINF87309IN
Medicaid100380540IN
Medicaid100380540AIN
Medicare PIN187730DIN

Other Providers at the Same Location NPPES 8

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

RUSHABH ANILKUMAR SHAH M.D.
Pediatrics
1919 LAKE AVE, SUITE 110
PLYMOUTH, IN 46563
Marshall County (574) 948-5290
JORDAN KELLY WEITZELL MAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1919 LAKE AVE
PLYMOUTH, IN 46563
Marshall County (574) 948-4800
PRIMMER LOGAN ZOOK
Specialist/Technologist (Athletic Trainer)
1919 LAKE AVE
PLYMOUTH, IN 46563
Marshall County (574) 948-4800
ROD STEPHEN KUBLEY M.D.
Family Medicine
1919 LAKE AVE, SUITE 104
PLYMOUTH, IN 46563
Marshall County (574) 941-2929
JANICE ANN BALDWIN CNM
Advanced Practice Midwife
1919 LAKE AVE, SUITE 99
PLYMOUTH, IN 46563
Marshall County (574) 941-2977
SAMUEL B VANLANDINGHAM M.D.
Surgery
1919 LAKE AVE, SUITE 102
PLYMOUTH, IN 46563
Marshall County (574) 941-2967
ALLIED PHYSICIANS OF MICHIANA, LLC
Durable Medical Equipment & Medical Supplies
1919 LAKE AVE, SUITE 107B
PLYMOUTH, IN 46563
Marshall County (574) 540-2500
JAMES WARREN DAMMON JR. MD
Surgery
1919 LAKE AVE, SUITE 102
PLYMOUTH, IN 46563
Marshall County (574) 948-5170

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 Timothy Peters's NPI number?

The NPI number for Timothy Peters is 1285662171. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Timothy Peters located?

Timothy Peters practices at 1919 Lake Ave Suite 104, Plymouth, IN 46563. The listed phone number is (574) 941-2929.

What is Timothy Peters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Timothy Peters was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.