CHRISTINA STAR PETERSEN


Address: 100 Bureau Drive Bldg 101, Rm C-33, Ms #1732, Gaithersburg, MD 20899-0001
Phone: 3019755131

CHRISTINA STAR PETERSEN (NPI# 1811406267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811406267
Entity Type Individual
Full Name CHRISTINA STAR PETERSEN
Other Name CHRISTINA STAR MCCANN
Credential PA-C
Practice Address 100 Bureau Drive Bldg 101, Rm C-33, Ms #1732
Gaithersburg
MD 20899-0001
Mailing Address 10319 Westlake Dr # 130
Bethesda
MD 20817-6403
Practice Telephone 3019755131
Enumeration Date 2017-09-28
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant C06578 MD Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4494 Palmer Rd N Wrnmmc Neurosurgery, Bethesda, MD 208890001 3012954000

Other Providers CHRISTINA PETERSEN

NPI Name Taxonomy Address Enumeration
1467974238 Christina Marie Petersen Behavior Technician 1103 N Nevada St, Carson City, NV 89703-3808 2017-07-12
1225672710 Christina Caroline Petersen Counselor 2422 N Grandview Blvd, Waukesha, WI 53188-6105 2019-10-29
1578005047 Christina Petersen Nurse Anesthetist, Certified Registered 2570 Haymaker Rd Dept Of, Monroeville, PA 15146-3513 2016-11-15
1811074925 Christina L. Petersen Chiropractor 516 Route 303, Suite 3, Orangeburg, NY 10962-1309 2006-11-01

Office Location

Street Address 100 BUREAU DRIVE BLDG 101, RM C-33, MS #1732
City GAITHERSBURG
State MD
Zip Code 20899-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023114378 Scott Kushner Military Health Care Provider 8901 Wiscosin Ave, Bethesda, MD 20899 2006-09-15
1356826101 Staci Lynne Jones Pharmacist 8901 Wisconsin Ave, Bethesda, MD 20899 2018-09-27
1154857597 Patrick Marcus Singley Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20899 2017-05-04
1386098234 Andrew Thomas Gould Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20899 2016-04-18
1023473675 Laurie Lanca Registered Nurse 8901 Wisconsin Ave, Bethesda, MD 20899 2015-12-28
1316386444 Michael John Mcmahon Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Bethesda, MD 20899 2013-06-21
1992006811 Barbara Basuk Preventive Medicine 100 Bureau Dr, Stop 1732, Gaithersburg, MD 20899-0003 2010-11-09
1437799871 Felix Achille Gouanette Tankeu Nurse Practitioner 100 Bureau Dr, Gaithersburg, MD 20899-0003 2020-01-14
1265870406 John David Andersen Student in an Organized Health Care Education/Training Program 8901 Wisconsin Avenue, Bethesda, MD 20899-5600 2013-06-10
1053595835 Katherine Kroh Physical Therapist 8901 Wisconsin Ave, Bethesda, MD 20899-5600 2007-12-28
Find all providers in zip 20899

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083254387 Maryam Esfahani Zareh Physician Assistant 18516 Gingerbread Ln, Gaithersburg, MD 20877-3534 2020-01-14
1477979938 Susanna Abdelkarim Physician Assistant 806 W Diamond Ave Ste 110, Gaithersburg, MD 20878-1478 2014-03-07
1053328120 Jamilah Ali Alexander Physician Assistant 610 Professional Dr Ste 255, Gaithersburg, MD 20879-3463 2006-08-02
1548266752 Jennifer Lynn Gularson Physician Assistant 803 Russell Ave, Gaithersburg, MD 20879-3584 2005-06-22
1093328387 Samaaneh Moezzi Physician Assistant 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877-1282 2020-08-26
1093323503 David Christopher Flores Physician Assistant 546 N Frederick Ave, Gaithersburg, MD 20877-2504 2020-07-21
1801306816 Brieana Rose Viscomi Physician Assistant 220 Girard St Ste 100, Gaithersburg, MD 20877-3467 2017-10-04
1114461845 Jessica Anne Vossler Physician Assistant 845 Quince Orchard Blvd Ste B, Gaithersburg, MD 20878 2016-12-14
1881147403 Kristin Petronio Reisinger Physician Assistant 501 N Frederick Ave, Suite #302, Gaithersburg, MD 20877-2507 2016-07-31
1306234836 Brittany Lundberg Physician Assistant 806 W Diamond Ave, Suite #110, Gaithersburg, MD 20878-1415 2015-01-06
Find all providers in GAITHERSBURG

Competitor

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City GAITHERSBURG
Zip Code 20899

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Dataset Information

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.

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