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Active NPI 1831130863 Individual Practitioner Male Practitioner

Dr. Mark Arthur Peterson , MD

Surgery • Greenbrae, CA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Peterson, MD is a registered healthcare professional specializing in Surgery in Greenbrae, CA. Practice services are available at 1300 S ELISEO DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 S Eliseo Dr
Ste 104

Greenbrae, CA 949042023

Telephone 4154617955
Fax 4159278858
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Greenbrae, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Greenbrae, CA (3346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA C40987

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00C409870 (CA)
Commercial Insurance / Payer ID Railroad Medicare
020006844 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Margaret Peterson , RNFA

Registered Nurse - Orthopedic

NPI 1952395071

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2012

Registered at 1300 S ELISEO DR, STE 104, GREENBRAE, CA 949042023 (Tel: 4154617955)

📍
Updated Business Mailing Address October 05, 2012

Registered at 438 RIVIERA CIR, LARKSPUR, CA 949391510 (Tel: 4154617955)

👤
Provider Name / Credentials Updated October 05, 2012

Recorded as MARK PETERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2012

Surgery (License #C40987 in CA)

🟢
Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831130863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2006
Last Update: October 05, 2012
Sole Proprietor: Yes

Mailing Address

438 Riviera Cir

Larkspur, CA 949391510

Phone: 4154617955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.