MS. MARIAN J. PETERS (NPI# 1659414449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659414449 |
| Entity Type | Individual |
| Full Name | MS. MARIAN J. PETERS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
101 Colvard St Jefferson NC 28640-9797 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3362464542 |
| Practice Fax Number | 3362463642 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-00240 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 132 Poplar Grove Connector, Suite B, Boone, NC 286075915 | 8282648759 | 8282625687 |
| Street Address |
101 COLVARD ST |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275500761 | Paige A Stephens | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2006-03-02 |
| 1194360925 | Willow Green Portela | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2019-11-15 |
| 1477034791 | Robin Jones | Clinical Nurse Specialist | 101 Colvard St, Jefferson, NC 28640 | 2018-08-24 |
| 1700329042 | Richard Allen Bare | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2016-11-18 |
| 1851847511 | Courtney Camp Benson | Counselor | 101 Colvard St, Jefferson, NC 28640 | 2016-08-31 |
| 1700156551 | Jennifer Archer Keely | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2012-01-11 |
| 1699042986 | Daymark Recovery Service Inc | Counselor | 101 Colvard St, Unit 1, Jefferson, NC 28640-9797 | 2011-11-30 |
| 1720364250 | Daymark Recovery Services Inc | Counselor | 101 Colvard St, Unit 1, Jefferson, NC 28640-9797 | 2011-10-28 |
| 1669638599 | Ashley Wayne Harris | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2008-07-30 |
| 1194917823 | Jonna M. Mcgarity | Social Worker | 101 Colvard St, Unit 2, Jefferson, NC 28640-9797 | 2007-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
| Find all providers in zip 28640 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057871 | Caitlin Sukalac | Physician Assistant | 537 Penny Ln, Jefferson, OH 44047-8218 | 2020-06-09 |
| 1912986209 | Laura A Huebel | Physician Assistant | W5843 Gehler Rd, Jefferson, WI 53549-9662 | 2006-01-13 |
| 1366075061 | Tamara Dukich | Physician Assistant | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2020-02-20 |
| 1750863338 | Allison Messonnier | Physician Assistant | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2018-08-30 |
| 1598243982 | Mary Lelia Upchurch | Physician Assistant | 1514 Jefferson Hwy, Jefferson, LA 70121 | 2018-07-30 |
| 1902390016 | Brittany Morgan Woods | Physician Assistant | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2018-06-21 |
| 1013422765 | Heather Alexander | Physician Assistant | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2017-12-04 |
| 1174032163 | Cayla Carosone Link | Physician Assistant | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2017-09-22 |
| 1538697446 | Sarena Rajendra Patel | Physician Assistant | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2017-05-23 |
| 1821446907 | Catherine Thi Hang Le | Physician Assistant | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2016-05-30 |
| Find all providers in JEFFERSON | ||||
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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.