DR. CHARLES PETERS (NPI# 1013965755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013965755 |
| Entity Type | Individual |
| Full Name | DR. CHARLES PETERS |
| Credential | MD |
| Practice Address |
191 Theater Road Mayo Clinic Health System Franciscan Healthcare Onalaska WI 54650-8679 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 6083925002 |
| Mailing Telephone | 6087850940 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
57030 | WI | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
2005029313 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750725909 | Charles A Peters | Pharmacist | 1813 Atwater Ct, Kissimmee, FL 34746-3581 | 2013-04-18 |
| 1609088145 | Charles Barnett Peters IIi | Dentist | 933 Fm 3009, Schertz, TX 78154-1000 | 2007-05-04 |
| 1497174239 | Charles Alonzo Peters Jr. | Pediatrics | 609 E Lamar St, Americus, GA 31709-3737 | 2014-04-09 |
| 1588088629 | Charles Peters | Physical Therapist | 1819 W Clinch Ave, Suite 106, Knoxville, TN 37916-2434 | 2014-02-10 |
| 1184773228 | Charles P. Peters | Psychiatry & Neurology | 7600 Osler Dr, Suite 208, Towson, MD 21204-7735 | 2007-01-09 |
| 1649357757 | Charles E Peters Jr. | Counselor | 1415 Sixth Avenue, Huntington, WV 25701-2421 | 2006-11-01 |
| 1285684746 | Charles D Peters | Internal Medicine | 401 N 17th St, Suite 201, Allentown, PA 18104-5034 | 2006-05-12 |
| 1346242161 | Charles David Peters Jr. | Internal Medicine | 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3610 | 2005-08-11 |
| Street Address |
191 THEATER ROAD MAYO CLINIC HEALTH SYSTEM FRANCISCAN HEALTHCARE |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650-8679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689667313 | Hans E. Von Weiss | Dermatology | 191 Theater Road, Onalaska, WI 54650-8679 | 2005-08-29 |
| 1568570521 | Jacqueline A Van Manen | Family Medicine | 191 Theater Road, Onalaska, WI 54650-8679 | 2006-08-29 |
| 1922084706 | Edward G Rydell | Emergency Medicine | 191 Theater Road, Onalaska, WI 54650-8679 | 2005-12-22 |
| 1457341992 | Nancy L Erickson | Family Medicine | 191 Theater Road, Onalaska, WI 54650-8679 | 2005-10-26 |
| 1487642674 | Paul E Molling | Family Medicine | 191 Theater Road, Onalaska, WI 54650-8679 | 2005-10-11 |
| 1033104427 | Gerlyn M Brasic | Internal Medicine | 191 Theater Road, Onalaska, WI 54650-8679 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| Find all providers in zip 54650 | ||||
| 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 |
|---|---|---|---|---|
| 1790913390 | Ruprecht Nitschke | Pediatrics | 7107 Franklin Ave, Middleton, WI 53562-2712 | 2009-06-23 |
| 1205951126 | Neha J Patel | Pediatrics | 321 Shiloh Dr, Madison, WI 53705-2462 | 2007-03-20 |
| 1134501745 | Michael Halyko | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2015-06-19 |
| 1619397692 | Amy Moskop | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-04-17 |
| 1942542626 | Kerri Becktell | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-03-20 |
| 1184912230 | Ryuma Tanaka | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2011-07-11 |
| 1871817734 | Rachel Ann Phelan | Pediatrics | 9000 W Wisconsin Ave, Pediatric Hematology and Oncology, Milwaukee, WI 53226-4874 | 2010-03-22 |
| 1265664494 | Ruchika Sharma | Pediatrics | 9000 W Wisconsin Ave, Pediatric Hematology and Oncology, Milwaukee, WI 53226-4874 | 2009-08-21 |
| 1942430715 | Cathy A Lee-miller | Pediatrics | 1675 Highland Ave, Madison, WI 53792-7710 | 2009-07-15 |
| 1831331131 | Sarah Dobrozsi | Pediatrics | 9000 W Wisconsin Ave, Pediatric Hematology/oncology, Milwaukee, WI 53226-4874 | 2009-04-01 |
| Find all providers with the same taxonomy | ||||
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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.