DR. CHARLES JOHN PETERSON (NPI# 1295026821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295026821 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JOHN PETERSON |
| Credential | PHARM.D. |
| Practice Address |
308 Harvard St Se Minneapolis MN 55455-0343 |
| Mailing Address |
2316 Fremont Ave S # 2 Minneapolis MN 55405-2645 |
| Practice Telephone | 6126265158 |
| Mailing Telephone | 6128657796 |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2011-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609026897 | Charles Marquis Peterson | Internal Medicine | 12910 Dalyn Dr, Potomac, MD 20854-1176 | 2008-09-24 |
| 1134243355 | Charles Mark Peterson | Registered Nurse | 830 14th Ave, Seattle, WA 98122-4508 | 2007-03-16 |
| 1902973415 | Charles Walter Peterson | Optometrist | 904 Elliott Ave N, Wenatchee, WA 98801-1666 | 2006-11-29 |
| 1558472613 | Charles Edwin Peterson | Internal Medicine | 904 Meadow Lane, Schenectady, NY 12309 | 2006-08-31 |
| 1700845526 | Charles A Peterson | Orthopaedic Surgery | 8438 N Mercer Way, Mercer Island, WA 98040-3134 | 2006-03-21 |
| 1952302143 | Charles Smith Peterson | Family Medicine | 3130 E Baseline Rd, Suite 101, Mesa, AZ 85204-7290 | 2005-08-10 |
| 1871036798 | Charles Capdeville Peterson | Family Medicine | 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205-4436 | 2016-11-25 |
| 1154798502 | Charles Peterson | Counselor | 185 Silas Deane Hwy, Wethersfield, CT 06109 | 2015-09-01 |
| 1982018818 | Charles William Peterson Iv | Behavioral Analyst | 21929 Highland Knolls Dr, Katy, TX 77450-5873 | 2014-06-18 |
| 1437234499 | Charles John Peterson | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-26 |
| Street Address |
308 HARVARD ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425112 | Brian John Isetts | Pharmacist | 308 Harvard St Se, Rm 7-175, Minneapolis, MN 55455-0353 | 2005-05-23 |
| 1386274660 | Melissa Mcneely | Registered Nurse | 308 Harvard St Se, Minneapolis, MN 55455-0353 | 2020-01-25 |
| 1740810332 | April Taylor | Registered Nurse | 308 Harvard St Se, Minneapolis, MN 55455-0353 | 2020-01-22 |
| 1225696909 | Ayan Iman Omar | Student in an Organized Health Care Education/Training Program | 308 Harvard St Se, Minneapolis, MN 55455-0353 | 2019-05-29 |
| 1700443603 | Tianna Jeanne Usher | Student in an Organized Health Care Education/Training Program | 308 Harvard St Se, Minneapolis, MN 55455-0353 | 2019-05-26 |
| 1760929061 | Christine Mueller | Registered Nurse | 308 Harvard St Se, 308 Harvard St. Se, Minneapolis, MN 55455-0353 | 2017-01-24 |
| 1952852006 | Kristyn Melissa Williamson | Pharmacist | 308 Harvard St Se, Room 5-110 Wdh 1332a, Minneapolis, MN 55455-0353 | 2016-10-24 |
| 1235581109 | Connie Jean Delaney | Registered Nurse | 308 Harvard St Se, 5-140 Wdh, Minneapolis, MN 55455-0353 | 2016-07-05 |
| 1588016547 | Bonnie Westra | Registered Nurse | 308 Harvard St Se, Minneapolis, MN 55455-0353 | 2016-07-01 |
| 1063891471 | Nichole Rupnow | Pharmacist | 308 Harvard St Se, 3-150d Weaver Densford Hall, Minneapolis, MN 55455-0353 | 2015-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961003 | Maren Elizabeth Iverson | Student in an Organized Health Care Education/Training Program | 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1235745027 | Andrew Ryan Mcnamara | Student in an Organized Health Care Education/Training Program | 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 | 2020-09-17 |
| 1831704923 | Chelsea Armbruster | Student in an Organized Health Care Education/Training Program | 1001 34th Ave Ne, Minneapolis, MN 55418-1336 | 2020-09-15 |
| 1588279715 | Lauren Snell | Student in an Organized Health Care Education/Training Program | 929 Portland Ave Apt 1104, Minneapolis, MN 55404-1256 | 2020-09-14 |
| 1962016840 | Leora Effinger-weintraub | Student in an Organized Health Care Education/Training Program | 3928 39th Ave S, Minneapolis, MN 55406-3431 | 2020-09-08 |
| 1235743279 | Marc Daniel Beitz | Student in an Organized Health Care Education/Training Program | 100 W Franklin Avenue, Suite 200, Minneapolis, MN 55404-3479 | 2020-09-08 |
| 1801409396 | Antoinette M Goodman | Student in an Organized Health Care Education/Training Program | 2800 Freeway Blvd Ste 105, Minneapolis, MN 55430-1751 | 2020-08-25 |
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1023639309 | Sarah G Curtis | Student in an Organized Health Care Education/Training Program | 701 Park Ave # G5.122, Minneapolis, MN 55415-1623 | 2020-04-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on DR. CHARLES JOHN PETERSON.
| 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.