Peter Mark Granderson
ST FRANCIS HOUSE NWA INC


Address: 375 N Rupple Rd, Fayetteville, AR 72704-6110
Phone: 4797180290

Peter Mark Granderson (NPI# 1750660528, PAC ID# 0244403111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1750660528
PAC ID by PECOS 0244403111
Professional Enrollment ID I20111109000811
Full Name Peter Mark Granderson
Organization Legal Name ST FRANCIS HOUSE NWA INC
Address 375 N Rupple Rd
Fayetteville
AR 72704-6110
Phone Number 4797180290
Gender M
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0042262495
Number of Group Practice Members 28
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
040001 SILOAM SPRINGS REGIONAL HOSPITAL

Other Locations

Address Phone Organization
375 N Rupple Rd, Fayetteville, AR 72704-6110 4797180290 ST FRANCIS HOUSE NWA INC

Organization Information

Organization Legal Name ST FRANCIS HOUSE NWA INC
Physicians 41

Physicians with the same organization

Name Specialty Organization Address
Rachel Anne Reich Nurse Practitioner St Francis House Nwa Inc 1500 N Mount Olive St, Siloam Springs School Based Health Center, Siloam Springs, AR 72761-9509
Tracie E Fullove Family Medicine St Francis House Nwa Inc 3162 W Martin Luther King Blvd, Fayetteville, AR 72704-7679
Mark A Worley Psychiatry St Francis House Nwa Inc 614 E Emma Ave, 300 Community Clinic Springdale, Springdale, AR 72764-4469
Richard T Pruiksma Family Medicine St Francis House Nwa Inc 500 S Mount Olive St, 200 Community Clinic Siloam Springs Med, Siloam Springs, AR 72761-3602
Martha Morgan Family Practice St Francis House Nwa Inc 900 S Powell St, Springdale, AR 72764-5645
Donald G Clay Psychiatry St Francis House Nwa Inc 375 N Rupple Rd, Fayetteville, AR 72704-6110
Marie Chantale Crosse Nurse Practitioner St Francis House Nwa Inc 801 Viney Grove Rd, Prairie Grove, AR 72753-2623
Kathy Lynn Mayhew Family Medicine St Francis House Nwa Inc 1233 W Poplar St, Community Clinic Rogers Medical, Rogers, AR 72756-4245
Sheldon Riklon Family Medicine St Francis House Nwa Inc 500 S Mount Olive St, 200 Community Clinic Siloam Springs Med, Siloam Springs, AR 72761-3602
Laura Lee Mendenhall Clinical Social Worker St Francis House Nwa Inc 500 S Mount Olive St, 200 Community Clinic Siloam Springs Med, Siloam Springs, AR 72761-3602

Office Location

Street Address 375 N RUPPLE RD
City FAYETTEVILLE
State AR
Zip 72704-6110

Physicians in the same location

Name Specialty Organization Address
Donald G Clay Psychiatry St Francis House Nwa Inc 375 N Rupple Rd, Fayetteville, AR 72704-6110
Leslie Noelle Goolsby Nurse Practitioner St Francis House Nwa Inc 375 N Rupple Rd, Fayetteville, AR 72704-6110
Vicki H Moore Nurse Practitioner St. Francis House Nwa, Inc. 375 N Rupple Rd, Fayetteville, AR 72704-6110

Physicians in the same zip code

Name Specialty Organization Address
Robert R Orgain Optometry 3316 W Grove Dr, Suite 1, Fayetteville, AR 72704-5003
Steven F Spencer Family Medicine Washington Regional Medical System 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026
Jason R Young Nurse Practitioner Washington Regional Medical System 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026
Jason T Keech Physical Therapy Washington Regional Medical System 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026
Heather L Hutchison Nurse Practitioner Washington Regional Medical System 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026
David Luke Knox Neurosurgery Washington Regional Medical System 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026
Thomas K Rogerson Physical Therapy Washington Regional Medical System 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026
Fines Levi Hudson Physician Assistant Washington Regional Medical System 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026
Cody J Osbourn Physical Therapy Washington Regional Medical System 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026
Joseph Paul Physical Therapy Washington Regional Medical System 3561 Johnson Mill Blvd, Fayetteville, AR 72704-5026
Find all physicians in zip 72704

Competitor

Search similar physicians

City FAYETTEVILLE
Zip Code 72704
Specialty NURSE PRACTITIONER
City + Specialty FAYETTEVILLE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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