Provider Demographics
NPI:1437228038
Name:ARMSTRONG, PETER SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:SCOTT
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 CONNABLE AVE
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2212
Mailing Address - Country:US
Mailing Address - Phone:231-487-4209
Mailing Address - Fax:231-487-7840
Practice Address - Street 1:416 CONNABLE AVE
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2212
Practice Address - Country:US
Practice Address - Phone:231-487-4209
Practice Address - Fax:231-487-7840
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010630272085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4086470Medicaid
9999OtherPRIORITY HEALTH ASO PPO
3002428321OtherBLUE CARE NETWORK
383458711050OtherCOMMUNITY CHOICE MICHIGAN
MI3002428321OtherBLUECROSS BLUESHIELD
3002428321OtherBLUE CROSS BLUE SHIELD
MI3002428321OtherBLUECROSS BLUESHIELD
MI4086470Medicaid