DR. MATTHEW SHANE PETERSON M.D. (NPI# 1255319828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255319828 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SHANE PETERSON M.D. |
| Credential | M.D |
| Practice Address |
1145 19th St. Nw Suite 410 Washington DC 20036 |
| Practice Telephone | 2023311740 |
| Practice Fax Number | 2022969784 |
| Mailing Telephone | 2023311740 |
| Mailing Fax Number | 2022969784 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2015-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 200200772 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89132R9 | 05 |
| Street Address |
1145 19TH ST. NW SUITE 410 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
| 1790305506 | Healing Roots Counseling, LLC | Counselor | 1555 Connecticut Ave, Nw Suite 401, Washington, DC 20036 | 2020-04-22 |
| 1396391124 | New Touch Digital Inc. | Durable Medical Equipment & Medical Supplies | 2055 L Street W, Suite 400, Washington, DC 20036 | 2019-08-16 |
| 1770054371 | Olivia Renee Searle | Physical Therapist | 1145 19th Street Nw Suite 413, Washington, DC 20036 | 2018-12-09 |
| 1366920050 | Savonna Clecia Robinson | Home Health Aide | Capital Home Health Care, 1820 Jefferson Street, Washington, DC 20036 | 2018-08-03 |
| 1619480829 | Meredith Harris | Physical Therapist | 1120 20th St Nw Ste 116, Washington, DC 20036 | 2017-11-09 |
| 1225540503 | Tsigereda Getachew Nigussie | Registered Nurse | 1707 L St Nw Suit 900, Washington, DC 20036 | 2017-10-26 |
| 1033629928 | Bolanle Christie Koyejo | Home Health Aide | 1820 Jefferson Place Nw, Washington, DC 20036 | 2017-10-05 |
| 1679082648 | Fethia Bekeri | Home Health Aide | 1820 Jefferson Pl, Nw, Washington, DC 20036 | 2017-09-21 |
| Find all providers in zip 20036 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558827204 | Caitlin Mary Cusack | Obstetrics & Gynecology | 1356 S Carolina Ave Se, Washington, DC 20003-2371 | 2019-02-19 |
| 1871084053 | United Health Group, LLC | Obstetrics & Gynecology | 6323 Georgia Ave Nw Ste 210, Washington, DC 20011-1141 | 2018-05-23 |
| 1386091874 | Meagan Slate | Obstetrics & Gynecology | 4001 Brandywine St Nw # 300, Washington, DC 20016-1876 | 2016-05-16 |
| 1760845176 | Eric Harry Shapiro | Obstetrics & Gynecology | 2041 Georgia Ave Nw Ste 2055, Washington, DC 20060-3017 | 2016-04-01 |
| 1982066379 | Caiyun Liao | Obstetrics & Gynecology | 2041 Georgia Ave Nw Rm 2055, Washington, DC 20060-0002 | 2016-03-24 |
| 1154717387 | Kathleen Bren | Obstetrics & Gynecology | 5215 Loughboro Rd Nw Ste 500, Washington, DC 20016 | 2015-04-14 |
| 1043600760 | Emer Colalillo | Obstetrics & Gynecology | 900 23rd St Nw # Delivery, Washington, DC 20037-2342 | 2015-02-02 |
| 1205254174 | Nicholas Duff Hazen | Obstetrics & Gynecology | 3800 Reservoir Rd Nw # 3phc, Washington, DC 20007-2113 | 2014-03-28 |
| 1275974784 | Andrew Haddad | Obstetrics & Gynecology | 110 Irving St Nw Ste 5b-45, Washington, DC 20010-3017 | 2013-07-12 |
| 1023458510 | Ekaterina Kolmogorova | Obstetrics & Gynecology | 1133 21st St Nw Ste 200, Washington, DC 20036 | 2013-06-27 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20036 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.