MARY ANNE L PETERSON PA-C - NPI 1649704545 - Physician Assistant in Boston, MA

Q: What is Mary Anne Peterson's NPI number?

The NPI number for Mary Anne Peterson is 1649704545. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Q: What is Mary Anne Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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About Mary Anne L Peterson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANNE L PETERSON PA-C (NPI 1649704545) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA6154) and active in the NPI registry since April 2017. She maintains a secondary practice location in Dorchester.

NPPES Registry Identity

NPI1649704545

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY ANNE L PETERSONCredential: PA-C

Location Address725 ALBANY ST STE 4BBoston, MA 02118-3549

Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690 · (617) 414-5404

Phone(617) 638-5633

Sole ProprietorNo

Enumeration DateApril 18, 2017

Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration

NPPES CertifiedDecember 27, 2024

✔ NPI 1649704545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MA · PA6154

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

725 ALBANY ST STE 4B, Boston, MA 02118

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Secondary Practice Location 1

Location 139B District AveDorchester, MA 02125-1683 · Phone (617) 638-7869

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN PAUL OLSZEWSKI MD

Orthopaedic Surgery (Orthopaedic Trauma)