Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Andrew Craig Peterson, RPA-C

Individual provider Physician Assistant · NPI 1700040672

Mr. Andrew Craig Peterson, RPA-C is a Physician Assistant in Orchard Park, New York. Qualified in 2008, 18 years ago. Practices with Mercy Hospital of Buffalo, a 198-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

5959 Big Tree Rd Ste 108
Orchard Park, NY 14127-2291
Phone: (716) 204-3200
Fax: (716) 829-2138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012602 (NY)

Record details

NPI number1700040672
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2008
Last updated in NPPESMarch 16, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mercy Hospital Of Buffalo — 198 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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