DR. CHARLES A PETERSON (NPI# 1700845526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700845526 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A PETERSON |
| Credential | M.D. |
| Practice Address |
8438 N Mercer Way Mercer Island WA 98040-3134 |
| Practice Telephone | 2062327415 |
| Mailing Telephone | 2062327415 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD00013807 | WA | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
8438 N MERCER WAY |
| City | MERCER ISLAND |
| State | WA |
| Zip Code | 98040-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1881237048 | Lisa Catherine Stewart | Social Worker | Mental Health & Addiction Services, 401 Broadway, Seattle, WA 98040 | 2019-10-21 |
| 1023520665 | Aca Wa Group Corp | Massage Therapist | 7605 Se 27th St, Suite 103, Mercer Island, WA 98040 | 2017-11-03 |
| 1699211995 | Wei Fan | Acupuncturist | 7605 Se 27th Street, Suite 103, Mercer Island, WA 98040 | 2017-01-10 |
| 1346691953 | James M Blue | Neurological Surgery | 4882 Forest Ave S.e., Mercer Island, WA 98040 | 2016-06-24 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1609115641 | Richard Daifuku | Specialist | 9270 Se 36th Pl, Mercer Island, WA 98040 | 2013-02-12 |
| 1689937286 | Karin L. Miller | Social Worker | 9725 Se. 36 St. #301, Mercer Island, WA 98040 | 2012-06-19 |
| 1689947608 | Hector Cantu Aldape | Pathology | 7649 West Mercer Way, Mercer Island, WA 98040 | 2012-02-22 |
| Find all providers in zip 98040 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194842153 | Gregory A Demopulos | Orthopaedic Surgery | 4845 Forest Ave Se, Mercer Island, WA 98040-4601 | 2007-03-23 |
| 1215084611 | Richard George Mccollum | Orthopaedic Surgery | 4155 Boulevard Pl, Mercer Island, WA 98040-3403 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418189 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 | 2020-08-19 |
| 1962968628 | Zachary Erin Schwartz | Orthopaedic Surgery | 9040 Fitzsimmons Drive- Orthopaedic Surgery, Joint Base Lewis Mcchord, WA 98431-1000 | 2019-02-18 |
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| 1821443383 | Chelan County Public Hospital District No 2 | Orthopaedic Surgery | 505 B State, Route 20, Winthrop, WA 98862 | 2016-05-03 |
| 1609254747 | William M Fallon | Orthopaedic Surgery | 3990 Saltspring Dr, Ferndale, WA 98248-9598 | 2015-05-08 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1740600840 | Peters T. Otlans | Orthopaedic Surgery | 16259 Sylvester Rd Sw Ste 501, Burien, WA 98166-3059 | 2014-04-16 |
| 1912324559 | Floyd Sekeramayi | Orthopaedic Surgery | 630 N Fairview Dr, Tacoma, WA 98406-1015 | 2014-03-20 |
| Find all providers with the same taxonomy | ||||
| City | MERCER ISLAND |
| Zip Code | 98040 |
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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.