Individual
PETER JOHN O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9601686
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000Q
BCBS
NC
01
—
188160
MEDCOST
NC
01
—
1922168152
TRICARE
NC
05
—
891000Q
—
NC
01
—
P00365810
RAILROAD MEDICARE
NC
Enumeration date
12/11/2006
Last updated
04/08/2021
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