Mark S Peters, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

102005 Issued in NC

Practice address

534 Biltmore Avenue
Asheville, NC 28801-4612

Phone

(828) 213-0594

Fax

(828) 213-0590

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asheville MRI

  • Diagnostic Radiology Physician
  • Asheville, NC
  • NPI 1114970639
  NPD (past)
• Asheville Radiology Associates

  • Diagnostic Radiology Physician
  • Asheville, NC
  • NPI 1821005976
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1013064849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2679",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288022679",
            "telephone_number": "828-213-0594",
            "fax_number": "828-213-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 BILTMORE AVENUE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014612",
            "telephone_number": "828-213-0594",
            "fax_number": "828-213-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "102005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter K. Pang D.D.S., P.a.
• Taylor Peterman
• Joan Peters
• Julianne Peters, PT, DPT
• Katherine Sumarriva Peters, MD
• Shannon Renee Peters, OTR/L
• Petersen Chiropractic, PLLC
• Kayla Mae Petersen, D.O.
• Kirsten Elizabeth Petersen, D.C.
• Sarah Michelle Petersen, LCMHCA

• Surgical Physician Assistant in Asheville, NC
• Providers in Asheville, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.