Provider Demographics
NPI:1922099035
Name:ALMIRALL, PETER DAVID (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:DAVID
Last Name:ALMIRALL
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 1:1202 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7307
Mailing Address - Country:US
Mailing Address - Phone:910-341-3300
Mailing Address - Fax:910-341-3321
Practice Address - Street 1:8715 E OAK ISLAND DR
Practice Address - Street 2:
Practice Address - City:OAK ISLAND
Practice Address - State:NC
Practice Address - Zip Code:28465-8367
Practice Address - Country:US
Practice Address - Phone:910-278-3316
Practice Address - Fax:910-278-1415
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25876207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0128837OtherUNITED HEALTHCARE
NC191483OtherMEDCOST PREFERRED
NC8910934Medicaid
NC4343598OtherAETNA PROVIDER #
NC6662026OtherCIGNA
NCP00399762OtherRAILROAD MEDICARE #
NC10934OtherBCBS INDIVIDUAL PROVIDER#
NC10934OtherBCBS INDIVIDUAL PROVIDER#
NC6662026OtherCIGNA
NCP00399762OtherRAILROAD MEDICARE #