DR. CHARLES MARQUIS PETERSON (NPI# 1609026897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609026897 |
Entity Type | Individual |
Full Name | DR. CHARLES MARQUIS PETERSON |
Credential | M.D. |
Practice Address |
12910 Dalyn Dr Potomac MD 20854-1176 |
Mailing Address |
1054 Patchell Street Attn: Mcmr-tt Fort Detrick MD 21702-5012 |
Practice Telephone | 3019870847 |
Mailing Telephone | 3016194197 |
Mailing Fax Number | 3016192518 |
Enumeration Date | 2008-09-24 |
Last Update Date | 2008-09-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | L3589 | WA | Allopathic & Osteopathic Physicians |
Y | 207R00000X | Internal Medicine | G 026308 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1295026821 | Charles John Peterson | Student in an Organized Health Care Education/Training Program | 308 Harvard St Se, Minneapolis, MN 55455-0343 | 2011-05-01 |
1437234499 | Charles John Peterson | Emergency Medicine | 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712-2805 | 2006-10-26 |
Street Address |
12910 DALYN DR |
City | POTOMAC |
State | MD |
Zip Code | 20854-1176 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
Find all providers in zip 20854 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760028906 | Potomac Eldercare Physicians | Internal Medicine | 11100 Powder Horn Dr, Potomac, MD 20854-2539 | 2019-11-22 |
1053868091 | Tatiana Oussova | Internal Medicine | 11929 Glen Mill Rd, Potomac, MD 20854-1920 | 2016-09-07 |
1841744737 | Kshama Garg | Internal Medicine | 13332 Deerbrook Dr, Potomac, MD 20854-6367 | 2016-08-08 |
1689045569 | Mohini Kaushik | Internal Medicine | 6 Mercy Ct, Potomac, MD 20854-4540 | 2015-10-16 |
1508200502 | Silvia Santamarina-fojo | Internal Medicine | 11410 River Rd, Potomac, MD 20854-1234 | 2013-04-20 |
1841633807 | Sudarshana Sona Bhatnagar | Internal Medicine | 11300 Palatine Dr, Potomac, MD 20854-1445 | 2013-04-09 |
1588930424 | Hon-sum Ko | Internal Medicine | 11702 Enid Dr, Potomac, MD 20854-3451 | 2012-03-26 |
1720357536 | Joel Alvin Reiskin | Internal Medicine | 11231 Potomac Crest Dr, Potomac, MD 20854-2769 | 2011-12-22 |
1336451517 | Mitra Ahadpour | Internal Medicine | 11421 Patriot Ln, Potomac, MD 20854-3749 | 2010-07-05 |
1609199553 | Joseph Raymond Bianchine | Internal Medicine | 8918 Harvest Square Ct, Potomac, MD 20854-4475 | 2010-03-07 |
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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.