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CHARLES D PETERSON MD
NPI 1790731685
Radiology - Diagnostic Radiology in Kettering, OH

Active since May 25, 2006
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 296-7211 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles D Peterson Md NPPES

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

CHARLES D PETERSON MD (NPI 1790731685) is an individual diagnostic radiology provider in Kettering, Ohio, licensed in Ohio (35053561) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1790731685
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCHARLES D PETERSONCredential: MD
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing AddressPo Box 292796Kettering, OH 45429-8796 · (614) 430-5726
Phone(937) 296-7211
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 18, 2011
✔ NPI 1790731685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OH · 35053561
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3535 SOUTHERN BLVD, Kettering, OH 45429
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Other Identifiers 4

Medicare UPINE76593
Medicaid0775951OH
Other360003376Medicare Railroad
Medicare PIN7015741OH

Other Providers at the Same Location NPPES 20

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

RAGHEED KATKHUDA MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
ANNEMARIE ROSE UNDERWOOD PA-C
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8166
SYLVIA POLENAKOVIK M.D.
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-6665
SUSAN KAY ZANN RNFS
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8608
SWATHI DATLA M.B.B.S.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. LOREN ANN NALLU MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
DR. JEREMY LAWTON CHAPMAN D.O.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. RAHUL RAO DO
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Peterson's NPI number?

The NPI number for Charles Peterson is 1790731685. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Charles Peterson located?

Charles Peterson practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 296-7211.

What is Charles Peterson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Charles Peterson was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.