# SCOTT PETERS DPM CWS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427093160
- **Authorized official:** DR. SCOTT G PETERS DPM, CWS (OWNER)
- **Authorized official phone:** (440) 995-1111

## Contact information

- **Practice address:** 730 SOM CENTER RD, MAYFIELD VILLAGE, OH 44143-2350
- **Practice address phone:** (440) 995-1111
- **Practice address fax:** (440) 995-1234
- **Mailing address:** 730 SOM CENTER RD, MAYFIELD VILLAGE, OH 44143-2362
- **Mailing address phone:** (440) 995-1111
- **Mailing address fax:** (440) 995-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003015P | OH | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 05/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2663809 | — | OH |
| 01 | — | CK2777 | MEDICARE RAILROAD | OH |
