MARC L PETERS-GOLDEN MD NPI 1235211756

NPI Information

NPI: 1235211756
Provider Name: MARC L PETERS-GOLDEN, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
1500 EAST MEDICAL CENTER DR
3RD FLOOR TAUBMAN CTR RECP C
ANN ARBOR, MI
ZIP 48109
Phone: (734) 647-9342
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Marc L Peters-golden, MD is a pulmonary disease internal medicine in Ann Arbor, MI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Marc L Peters-golden, MD NPI is 1235211756. 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:

1500 EAST MEDICAL CENTER DR
3RD FLOOR TAUBMAN CTR RECP C
ANN ARBOR, MI
ZIP 48109-360
Phone: (734) 647-9342

The NPI 1235211756 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 3/29/2012.

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	207R00000X	Internal Medicine		4301047562	MICHIGAN	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	4301047562	MICHIGAN	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
1	1567360	MEDICAID	MICHIGAN
2	B48003	MEDICARE UPIN	MICHIGAN
3	0H17627202	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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