WILLIAM CARL PETERSEN JR. (NPI# 1801933197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801933197 |
| Entity Type | Individual |
| Full Name | WILLIAM CARL PETERSEN JR. |
| Credential | M.D. |
| Practice Address |
1204 W Main St Charlottesville VA 22903-2824 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349240123 |
| Practice Fax Number | 4342433300 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
0101254189 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 Lee St, Charlottesville, VA 229080001 | 4349248499 | 4349245452 |
| 629 Cedar Creek Grade Ste B, Winchester, VA 226012786 | 5406783950 | 5406783954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124207808 | William Frank Petersen | Pharmacist | 8 Magenta Ln, East Northport, NY 11731-5116 | 2007-10-30 |
| 1477690105 | William Loftin Petersen | Optometrist | 34179 Golden Lantern St, Suite 201, Dana Point, CA 92629-2800 | 2007-01-31 |
| 1225050891 | William M Petersen | Family Medicine | 614 Michigan Ave, Walker, MN 56484-1390 | 2006-07-24 |
| 1003250887 | William Patrick Petersen Jr. | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-23 |
| 1336276948 | William Marc Petersen | Dentist | 2532 W Francis Ave, Spokane, WA 99205-7012 | 2007-02-28 |
| 1124109400 | William C Petersen | Psychologist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2006-10-17 |
| 1902912504 | William L Petersen | Ophthalmology | 48 Main St, Massena, NY 13662-1984 | 2006-08-23 |
| 1881709079 | William A Petersen | Pediatrics | 10 Century Hill Dr, Latham, NY 12110-2162 | 2006-08-20 |
| 1285674317 | William C Petersen | Anesthesiology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-06-07 |
| 1770544579 | William G. Petersen | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-31 |
| Street Address |
1204 W MAIN ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980287 | Ann Lenox Kellams | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2005-08-31 |
| 1982210357 | Olivia Oriana Obertello | Dietitian, Registered | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-21 |
| 1417563180 | Caitlin E Anderson | Psychologist | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-18 |
| 1821611286 | Mackenzie Trapp | Genetic Counselor, MS | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-05-20 |
| 1740836287 | Sarah Burnett | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-08-12 |
| 1609439207 | Meredith Jordan | Student in an Organized Health Care Education/Training Program | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-04-18 |
| 1376007328 | Kaitlyn Geib | Nurse Practitioner | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-01-24 |
| 1275017147 | Haley F. Stephens | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2018-09-18 |
| 1114414919 | Shelley Towner | Genetic Counselor, MS | 1204 W Main St, Charlottesville, VA 22903-2824 | 2018-04-17 |
| 1891291944 | Elina Bank | Dietitian, Registered | 1204 W Main St, Charlottesville, VA 22903 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215046321 | Michael E Engel | Pediatrics | 1204 West Main Street, Charlottesville, VA 22908-1103 | 2006-08-30 |
| 1710121488 | Lara L Riegler | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2009-04-26 |
| 1518125517 | Daniel W. Lee IIi | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2008-05-27 |
| 1528243748 | Emily S. Moses | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326244559 | Niccole Piguet | Pediatrics | 8505 Arlington Blvd., Suite 400, Fairfax, VA 22031 | 2007-06-25 |
| 1154309136 | Marcie K. Weil | Pediatrics | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2006-01-09 |
| 1437502994 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 5855 Bremo Rd, Suite 605, Richmond, VA 23226 | 2016-07-20 |
| 1972923456 | Elizabeth Oaks Krieger | Pediatrics | 1250 E. Marshall St., Po Box 980121, Richmond, VA 23298 | 2014-04-23 |
| 1619304557 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1144669078 | Nadirah El-amin | Pediatrics | 1000 E Broad St, Richmond, VA 23219 | 2013-06-25 |
| 1487991618 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5875 Bremo Rd, Suite 104, Richmond, VA 23226-1934 | 2013-01-08 |
| 1952669962 | Jordyn Ramsey Griffin | Pediatrics | 1000 E Broad St, Richmond, VA 23219-1930 | 2012-04-26 |
| 1578705612 | Geoffrey S Kannan | Pediatrics | 6565 Arlington Blvd, Suite 200, Falls Church, VA 22042-3013 | 2009-04-06 |
| 1619139136 | Wilson Mccall File | Pediatrics | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2008-06-26 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.