DR. MARY T PETER M.D. NPI 1245416536

NPI Information

NPI: 1245416536
Provider Name: DR. MARY T PETER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
SPRINGFIELD RADIOLOGISTS ST JOHNS HOSPITAL
800 E. CARPENTER STREET
SPRINGFIELD, IL
ZIP 62769
Phone: (217) 544-6464
Get Directions

DR. Mary T Peter, M.D. is a diagnostic radiology radiology in Springfield, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Mary T Peter, M.D. NPI is 1245416536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

SPRINGFIELD RADIOLOGISTS ST JOHNS HOSPITAL
800 E. CARPENTER STREET
SPRINGFIELD, IL
ZIP 62769-001
Phone: (217) 544-6464

The enumeration date for this NPI number is 1/16/2008 and was last updated on 9/16/2009.

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	2085R0202X	Radiology	Diagnostic Radiology	036-118257	ILLINOIS	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	E19177	MEDICARE UPIN	ILLINOIS
2	036118257	MEDICAID	ILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »