Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1942257357 Deactivated / Inactive NPI Male Practitioner

Dr. Raymond Dale August Peterson , MD

Pediatrics • Daphne, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Raymond Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2006
NPI Deactivation Date June 18, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Raymond Peterson, MD was a registered Pediatrics practicing in Daphne, AL. Throughout an active medical career spanning 12 years, Dr. Peterson provided care at the practice location at 28490 2ND ST until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

28490 2nd St

Daphne, AL 365267150

Telephone 2513002030
Fax 2513002035
Associated Practice Facility / Clinic
🏢 Bayside Pediatrics, Llc Facility NPI 1245502327

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Daphne, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Daphne, AL (853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AL 00006735

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Ashleigh Boyington , CRNP

Nurse Practitioner - Family

NPI 1851931521

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active August 14, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2012

Registered at 28490 2ND ST, DAPHNE, AL 365267150 (Tel: 2513002030)

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Updated Business Mailing Address August 14, 2012

Registered at 28490 2ND ST, DAPHNE, AL 365267150 (Tel: 2513002030)

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Provider Name / Credentials Updated August 14, 2012

Recorded as RAYMOND PETERSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2012

Pediatrics (License #00006735 in AL)

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Initial NPI Registration & Enumeration May 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942257357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2006
Last Update: August 14, 2012
Deactivation Date: June 18, 2018

Mailing Address

28490 2nd St

Daphne, AL 365267150

Phone: 2513002030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.