Individual provider · NPI-1

Peter Michael Devito Jr., MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Madison, WI

NPI number1972000313
StatusActive
Last updated in NPPESSep 11, 2026

Details

NPI
1972000313
Entity type
Individual (NPI-1)
Name
Peter Michael Devito Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2018
Certification date
Sep 11, 2026
Last updated
Sep 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)15534-320WIYes
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)MD61663863WA

Practice location

600 Highland Ave
Madison, WI 53792-0001

Phone 608-915-0200

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

1959 Ne Pacific St
Seattle, WA 98195-0001

Phone 206-520-5000

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