Peterson Neurology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD12471 Issued in DC

Legal business name

PETERSON NEUROLOGY PC

Practice address

1140 Varnum St NE
Suite #101
Washington, DC 20017-2151

Phone

(202) 526-2509

Fax

(202) 529-7215

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Peterson, M.D.

Title

President/Owner

Phone

(202) 526-2509

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nana Yaw Asamoah-Mensah, M.D.

  • Neurology Physician
  • Washington, DC
  • NPI 1023103587
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1831286335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE",
            "address_2": "SUITE #101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172151",
            "telephone_number": "202-526-2509",
            "fax_number": "202-529-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE",
            "address_2": "SUITE #101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172151",
            "telephone_number": "202-526-2509",
            "fax_number": "202-529-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "202-526-2509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD12471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232301000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011019400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Petersen
• Leah Christine Petersen, M.S., CCC-SLP
• Matthew Gary Petersen, MD
• Scott Martin Petersen, MD
• Monica M Peterson Cunningham
• Erin Peterson-Ffleming, PH.D.
• Bernice Eloho Peterson, CPR & FIRST AID
• Carolyn Evelyn Peterson, HOME HEALTH AIDE
• Cha Peterson
• Charlene Alice Peterson, PHARM. D.

• Neurology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Neurology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.