Diane M Petersen (NPI# 1790719342, PAC ID# 0345203469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1790719342 |
| PAC ID by PECOS | 0345203469 |
| Professional Enrollment ID | I20041110000133 |
| Full Name | Diane M Petersen |
| Organization Legal Name | COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT |
| Address |
6121 N Hanley Rd Saint Louis MO 63134-2003 |
| Phone Number | 3146150560 |
| Gender | F |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0941285720 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| 260032 | BARNES JEWISH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1031 Bellevue Ave, Suite 400, Saint Louis, MO 63117-1858 | 3149777455 | ST LOUIS UNIVERSITY |
| 3635 Vista Ave, Saint Louis, MO 63110-2539 | 3149777455 | ST LOUIS UNIVERSITY |
| 3655 Vista Ave, Saint Louis, MO 63110-2539 | 3149777455 | ST LOUIS UNIVERSITY |
| 6121 N Hanley Rd, Saint Louis, MO 63134-2003 | 3146150560 | COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT |
| 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 3149777455 | ST LOUIS UNIVERSITY |
| Organization Legal Name | COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruo-qi Hu | Nephrology | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Sarah C Gebauer | Family Medicine | County of St Louis Division of Fiscal Management | 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 |
| Patricia Edwards-parrish | Nurse Practitioner | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Gerome V Escota | Infectious Disease | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Brenda D Bush | Nurse Practitioner | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Molly J Nelsen | Family Medicine | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Emily Drazinski Doucette | Family Medicine | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Denise L Spear | Nurse Practitioner | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Sabrina D Jordan Childs | Family Medicine | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Michael F Donovan | Family Medicine | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Street Address |
6121 N HANLEY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63134-2003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruo-qi Hu | Nephrology | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Gerome V Escota | Infectious Disease | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Brenda D Bush | Nurse Practitioner | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Molly J Nelsen | Family Medicine | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Sabrina D Jordan Childs | Family Medicine | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Michael F Donovan | Family Medicine | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Walter Glauber | Nurse Practitioner | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Robert D Baird | Internal Medicine | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Rebecca J Rezaei | Family Practice | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Bradley P Stoner | Internal Medicine | County of St Louis Division of Fiscal Management | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Croft | Optometry | Chabot Community Eye Care PC | 4401 N Hanley Rd, St Louis, MO 63134-2710 |
| Kathleen Q Tang Beltran | Family Medicine | Barnes Health Care Management Group LLC | 4401 N Hanley Rd, Heritage Care Center, St Louis, MO 63134-2710 |
| City | SAINT LOUIS |
| Zip Code | 63134 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SAINT LOUIS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Diane M Petersen.
| 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.