DR. CHARLES MARQUIS PETERSON


Address: 12910 Dalyn Dr, Potomac, MD 20854-1176
Phone: 3019870847

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).

Provider Overview

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

Taxonomy

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

Other Providers CHARLES PETERSON

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

Office Location

Street Address 12910 DALYN DR
City POTOMAC
State MD
Zip Code 20854-1176

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in POTOMAC

Competitor

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City POTOMAC
Zip Code 20854

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Dataset Information

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.

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