Provider Demographics
NPI:1770579609
Name:CARIGNAN, PETER MARTIN (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:MARTIN
Last Name:CARIGNAN
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 4174
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27204-4174
Mailing Address - Country:US
Mailing Address - Phone:336-683-5284
Mailing Address - Fax:336-683-5279
Practice Address - Street 1:364 WHITE OAK ST
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5434
Practice Address - Country:US
Practice Address - Phone:336-683-5284
Practice Address - Fax:336-683-5279
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200503207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC132WKOtherBCBS
NC89132WKMedicaid
NC89132WKMedicaid
NC2003090Medicare PIN