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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | C06578 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4494 Palmer Rd N Wrnmmc Neurosurgery, Bethesda, MD 208890001 | 3012954000 |
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 |
Street Address |
100 BUREAU DRIVE BLDG 101, RM C-33, MS #1732 |
City | GAITHERSBURG |
State | MD |
Zip Code | 20899-0001 |
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 Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
City | GAITHERSBURG |
Zip Code | 20899 |
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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.