Provider Demographics
NPI:1659440113
Name:PETER S ARMSTRONG MD PLLC
Entity Type:Organization
Organization Name:PETER S ARMSTRONG MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:231-487-4252
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:231-487-4252
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:231-487-4252
Practice Address - Fax:231-487-7840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010630272085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI99999OtherPRIORITY HEALTH ASO PPO
MI3002428321OtherBLUE CARE NETWORK
MIPA063027OtherBCBS OF MI
MI3002428321OtherBLUECROSS BLUESHIELD
MI4086470Medicaid
MI4086470Medicaid
MI99999OtherPRIORITY HEALTH ASO PPO
MI99999OtherPRIORITY HEALTH ASO PPO
MIOM75750Medicare PIN