Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Lavern Peterson Jr., DO

Individual provider Family Medicine Physician · NPI 1932364924

Gary Lavern Peterson Jr., DO is a Family Practice in Erie, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2007, 19 years ago. Practices with Millcreek Community Hospital, a 67-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
19
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5637 Peach St
Erie, PA 16509-2605
Phone: (814) 864-0690
Fax: (814) 866-5147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS015170 (PA)

Record details

NPI number1932364924
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 19, 2008
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2007 (19 years in practice)
Group practice Millcreek Community Hospital — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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