Basic Information
| Provider Information | |||||||||
| NPI: | 1255387353 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHIKES | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | GEORGE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 170 MANNING DR | ||||||||
| Address2: | PHYSICIANS OFFICE BUILDING, CB 7070 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199663342 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 170 MANNING DR | ||||||||
| Address2: | PHYSICIANS OFFICE BUILDING, CB 7070 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199663342 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 10/24/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 17939 | NC | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | 22336 | 01 | NC | BCBSNC | OTHER | P00909942 | 01 | NC | RAILROAD MEDICARE | OTHER | Q17939 | 05 | SC | MEDICAID | 4258695 | 01 | NC | AETNA | OTHER | 6609370 | 01 | NC | AETNA HMO | OTHER | 8922336 | 05 | NC | MEDICAID |