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DR. MARK ARTHUR PETERSON MD NPI 1831130863


NPI Information

NPI: 1831130863
Provider Name: DR. MARK ARTHUR PETERSON, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
1300 S ELISEO DR
STE 104
GREENBRAE, CA
ZIP 94904
Phone: (415) 461-7955
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DR. Mark Arthur Peterson, MD is a surgery in Greenbrae, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Mark Arthur Peterson, MD NPI is 1831130863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 S ELISEO DR
STE 104
GREENBRAE, CA
ZIP 94904-023
Phone: (415) 461-7955
Fax: (415) 927-8858

The enumeration date for this NPI number is 6/9/2006 and was last updated on 10/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryC40987CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A37496MEDICARE UPIN
200C409870MEDICAIDCALIFORNIA
3930943206OTHERCALIFORNIAEIN
400C409870MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
5020006844OTHERCALIFORNIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.