Chris M. Peterson, MD, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CHRIS M. PETERSON, MD, PA

Practice address

7A Cleveland CT
Greenville, SC 29607-2414

Phone

(864) 351-0345

Fax

(864) 351-0360

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris M Peterson, MD

Title

Owner

Phone

(864) 351-0345

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Morrison Peterson, MD

  • MOHS-Micrographic Surgery Physician
  • Greenville, SC
  • NPI 1609891472
  Medicare reassignment Care Compare group NPD
• Stacy H Schroder, FNP-C

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1295259034
  Medicare reassignment Care Compare group NPD
• Frances B Pardue, PA-C

  • Dermatology Physician
  • Greenville, SC
  • NPI 1134171473
  Medicare reassignment
• Kathryn Sanders

  • Physician Assistant
  • Greenville, SC
  • NPI 1598675258
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1912348699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7A CLEVELAND CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072414",
            "telephone_number": "864-351-0345",
            "fax_number": "864-351-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7A CLEVELAND CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072414",
            "telephone_number": "864-351-0345",
            "fax_number": "864-351-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS M. PETERSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-351-0345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saher Karim Choudhary, M.D.
• Subodh Kumar Choudhary, DPM
• Saeeda Zaman Chowdhury, M.D.
• Kim Marie Chowning
• Mary Catherine Chrabaszcz, CNP
• John Hamilton Christ, CRNA
• Gregory S Christensen, MD
• Hannah Christensen, PHARMD
• Loren Christie
• Sara Shapre Christie, FNP-C

• Medical Specialty Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.