DR. MATTHEW GARY PETERSEN (NPI# 1629565767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629565767 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW GARY PETERSEN |
| Credential | MD |
| Practice Address |
2150 Pennsylvania Ave Nw Washington DC 20037-3201 |
| Practice Telephone | 2027413000 |
| Mailing Telephone | 2027413000 |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1477607083 | Matthew D. Petersen | Specialist/Technologist, Other | 11704 W Center Rd Ste 200, Omaha, NE 68144-4327 | 2007-01-22 |
| 1710062351 | Matthew Petersen | Urology | 24 Research Way, Suite 500, East Setauket, NY 11733 | 2006-10-25 |
| 1396206397 | Matthew Petersen | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2019-03-31 |
| 1053764639 | Matthew Petersen | Physician Assistant | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2016-07-19 |
| 1154554004 | Matthew Joel Petersen | Counselor | 711 Stanton L Young Blvd, Oklahoma City, OK 73104-5023 | 2009-08-26 |
| 1972767556 | Matthew James Petersen | Radiology | 1701 N Senate Blvd, Radiology Dept, Indianapolis, IN 46202-1239 | 2008-07-14 |
| 1558569038 | Matthew L Petersen | Family Medicine | 4600 Valley Road, Suite 200, Lincoln, NE 68510-4844 | 2007-07-06 |
| Street Address |
2150 PENNSYLVANIA AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20037-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239276 | Denise Johnstone | Nurse Practitioner | 2150 Pennsylvania Ave Nw, Suite 10-412, Washington, DC 20037-3201 | 2005-07-20 |
| 1821696485 | Abdulrahman Bukhari | Psychiatry & Neurology | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-10-15 |
| 1821696378 | Rahma Aldhaheri | Internal Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-10-15 |
| 1700483450 | Jennifer R Wald | Physician Assistant | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-10-06 |
| 1033716089 | Mohammed Talal Abualenain | Internal Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-10-02 |
| 1861019648 | Haitham Soror Alaithan | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw, Washington, DC 20037 | 2020-06-29 |
| 1790301273 | Ruby Gibson | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-06-22 |
| 1811510316 | Peter Harris | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-05-19 |
| 1326669664 | Keanan Mcgonigle | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-04-28 |
| 1588284970 | Seth Jacob Barishansky | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1477173326 | Lisa Kate Eitches | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associ, 2150 Pennsylvania Ave, Nw, Washington, DC 20037 | 2020-04-21 |
| 1992280044 | Aakshit Goyal | Student in an Organized Health Care Education/Training Program | The George Washington University Hospital, 900, 23 Rd Street, Washington, DC 20037 | 2018-09-25 |
| 1649752015 | Jamie Peterson | Counselor | 3 Washington Circle Nw, Suite 406, Washington, DC 20037 | 2018-09-03 |
| 1003392689 | Eugenie Atallah | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associates 2150 Pennsylvania Ave, 2150 Pennsylvania Avenue, Nw, Washington, DC 20037 | 2018-07-17 |
| 1033637541 | Brianna Bachelle Eliades | Physical Medicine & Rehabilitation | 2175 K Street, Nw, C120, Washington, DC 20037 | 2017-09-05 |
| 1376067967 | Candace Mary Willett | Pediatrics | 2440 M St Nw Ste 205, Washington, DC 20037 | 2017-07-26 |
| 1982125894 | Fransisca Indraswari | Student in an Organized Health Care Education/Training Program | The George Washington Medical Faculty Associates, 2150 Pennsylvania Avenue Nw, Washington, DC 20037 | 2017-06-30 |
| 1750816021 | Mohammed Alsaggaf | Student in an Organized Health Care Education/Training Program | 900 23rd St Nw, Washington, Dc 20037, Usa, Washington, DC 20037 | 2017-04-25 |
| 1053868802 | Nicolle Denise Cooley | Speech-Language Pathologist | 2600 Virginia Avenue Nw, Suite #900, Washington, DC 20037 | 2016-09-08 |
| Find all providers in zip 20037 | ||||
| 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 |
|---|---|---|---|---|
| 1104433440 | Ashutabot E Nki IIi | Student in an Organized Health Care Education/Training Program | 2480 16th St Nw Apt 428, Washington, DC 20009-6703 | 2020-09-30 |
| 1558972083 | Tareq Yousef | Student in an Organized Health Care Education/Training Program | 425 L St Nw Apt 514, Washington, DC 20001-2598 | 2020-08-10 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1629690631 | Idil Ibrahim | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue Washington, Nw, Washington, DC 20060 | 2020-05-13 |
| 1518588086 | Kristen Marie Schoenike | Student in an Organized Health Care Education/Training Program | 2012 O St Nw Apt 42, Washington, DC 20036-5928 | 2020-05-06 |
| 1639790363 | Erica Chambers | Student in an Organized Health Care Education/Training Program | 1751 L St Ne, Washington, DC 20002-3058 | 2020-05-05 |
| 1740801570 | Felix Wadja Wireko | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue, Nw Howard University Hospital, Washington, DC 20060 | 2020-05-04 |
| 1326669235 | Priscilla Agyemang Ababio | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue, Nw, Howard University Hospital, Washington, DC 20060 | 2020-05-01 |
| 1144841339 | Sohyun Laura Chung | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw Ste 9-400, Washington, DC 20037-3201 | 2020-04-29 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20037 |
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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.