CHARLES E. PETERSON MD – NPI #1326025495
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
CHARLES PETERSON is a surgeon located in SOUTH BEND, IN. NPPES has assigned the NPI number 1326025495 to CHARLES PETERSON on December 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 5 years ago on Jul 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES PETERSON below.
NPI Profile for
CHARLES E. PETERSON
(more than 20 years ago)
SOUTH BEND, IN 46601-1075 Phone: (574) 647-5875 Fax: (574) 647-5878
1 Other location(s):
Elkhart, IN 46514-2485
Phone: (574) 389-5656
SOUTH BEND, IN 46617-1924 Phone: (574) 647-1610 Fax: (574) 237-6069
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
IN | 01028400A |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- Affiliation
- N
- Endpoint Location
-
621 MEMORIAL DR STE 502,
SOUTH BEND, IN 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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