Provider Demographics
NPI:1508181355
Name:KARTH, PETER ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ALAN
Last Name:KARTH
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:PO BOX 5276
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-0276
Mailing Address - Country:US
Mailing Address - Phone:650-492-3389
Mailing Address - Fax:
Practice Address - Street 1:2650 N 17TH ST STE B
Practice Address - Street 2:
Practice Address - City:COOS BAY
Practice Address - State:OR
Practice Address - Zip Code:97420-2134
Practice Address - Country:US
Practice Address - Phone:541-873-8462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-01376207W00000X
SC51118207W00000X
TXR1055207W00000X
UT10246258-1205207W00000X
NMMD2017-0095207W00000X
IL036142181207W00000X
WAMD60547615207W00000X
HIMD-18970207W00000X
ORMD175918207WX0107X, 207W00000X
LA306523207W00000X
WI54772207W00000X
ALMD.36073207W00000X
MS24816207W00000X
CAA125580207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500713571Medicaid
ORR189544Medicare PIN
OR500713571Medicaid