DR. WALTER J PETERS (NPI# 1104857598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104857598 |
| Entity Type | Individual |
| Full Name | DR. WALTER J PETERS |
| Credential | M.D. |
| Practice Address |
233 Christie Dr Martinez CA 94553-5713 |
| Mailing Address |
6680 Alhambra Ave #419 Martinez CA 94553-6105 |
| Practice Telephone | 9259303110 |
| Practice Fax Number | 9252292937 |
| Mailing Telephone | 9259303110 |
| Mailing Fax Number | 9252292937 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A50476 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A504760 | 01 |
| CA | BLUE SHIELD | 00A504761 | 01 |
| CA | 00A504760 | 05 | |
| CA | CITY/ COUNTY SAN FRAN. | H047 | 01 |
| CA | 00A504761 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245258789 | Walter James Peters Jr. | Ophthalmology | 7171 S Yale Ave Ste 101, Tulsa, OK 74136-6367 | 2006-07-17 |
| 1316941123 | Walter Russell Peters Jr. | Surgery | 3409 Worth St, Worth Tower, Suite 640, Dallas, TX 75246-2029 | 2005-06-09 |
| 1831362037 | Walter Hamilton Peters Iv | Psychiatry & Neurology | 8 Richland Medical Park, Suite 420, Columbia, SC 29203-8004 | 2008-04-08 |
| Street Address |
233 CHRISTIE DR |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306149117 | Dr Manhiani Pllc | Internal Medicine | 1000 Secession Ct, Martinez, GA 30907-9171 | 2010-12-16 |
| 1356427884 | Kate Thamina Christensen | Internal Medicine | 246 Christie Drive, Martinez, CA 94553 | 2006-10-27 |
| 1801999180 | Shoba Battu | Internal Medicine | 589 Firestone Place, Martinez, GA 30907 | 2006-09-05 |
| 1003927062 | Saroj B. Sharma | Internal Medicine | 587 Furys Ferry Rd, Martinez, GA 30907-9059 | 2006-08-31 |
| 1992818041 | Benjamin Graham Jr. | Internal Medicine | 331 C St, Martinez, CA 94553-3137 | 2006-08-15 |
| 1265483952 | Rajwinder S Manhiani | Internal Medicine | 4412 Columbia Rd, Suite 106, Martinez, GA 30907-4562 | 2006-05-15 |
| 1043296247 | Thomas Edward Gamsky | Internal Medicine | 10 Douglas Dr, Martinez, CA 94553-4077 | 2005-12-20 |
| 1700391968 | J & J Henry Medical Group | Internal Medicine | 1790 Muir Rd, Legacy Nursing and Rehab, Martinez, CA 94553 | 2017-12-11 |
| 1386904100 | Emma Claire Swan | Internal Medicine | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2012-05-26 |
| 1568748978 | Aiyan Diabetes Center, LLC | Internal Medicine | 462 Furys Ferry Rd, Martinez, GA 30907 | 2011-10-30 |
| Find all providers in MARTINEZ | ||||
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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.