ANTHONY G PETERS PA-C NPI 1568461747

NPI Information

NPI: 1568461747
Provider Name: ANTHONY G PETERS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1101 9TH ST SE
SIOUX CENTER, IA
ZIP 51250
Phone: (712) 722-2609
Get Directions

Anthony G Peters, PA-C is a medical physician assistant in Sioux Center, IA. Anthony G Peters, PA-C NPI is 1568461747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1101 9TH ST SE
SIOUX CENTER, IA
ZIP 51250-501
Phone: (712) 722-2609
Fax: (712) 722-8426

The enumeration date for this NPI number is 7/19/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0484	SOUTH DAKOTA	No
2	363AM0700X	Physician Assistant	Medical	002094	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9245667	OTHER	SOUTH DAKOTA	DAKOTACARE
2	AH9141049452	OTHER	SOUTH DAKOTA	PREFERRED ONE
3	4993250	OTHER	SOUTH DAKOTA	BLUE CROSS
4	002094	OTHER	IOWA	IA PHYSICIAN ASSISTANTS LICENSURE
5	6823833	MEDICAID	SOUTH DAKOTA
6	0484	OTHER	SOUTH DAKOTA	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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