Craig A Peterson (NPI# 1598739054, PAC ID# 0446244040) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1598739054 |
PAC ID by PECOS | 0446244040 |
Professional Enrollment ID | I20040414000907 |
Full Name | Craig A Peterson |
Organization Legal Name | SAN JUAN UROLOGY ASSOCIATES P C |
Address |
904 S 4th St Montrose CO 81401-4226 |
Phone Number | 9702492291 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
Graduation Year | 1993 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 9739359571 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060006 | MONTROSE MEMORIAL HOSPITAL |
060071 | DELTA COUNTY MEMORIAL HOSPITAL |
061320 | GUNNISON VALLEY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1450 Burgess St, Delta, CO 81416-2849 | 9702492291 | SAN JUAN UROLOGY ASSOCIATES P C |
904 S 4th St, Montrose, CO 81401-4226 | 9702492291 | SAN JUAN UROLOGY ASSOCIATES P C |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
Organization Legal Name | SAN JUAN UROLOGY ASSOCIATES P C |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jordan Ross Luskin | Urology | San Juan Urology Associates P C | 904 S 4th St, Montrose, CO 81401-4226 |
Street Address |
904 S 4TH ST |
City | MONTROSE |
State | CO |
Zip | 81401-4226 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jordan Ross Luskin | Urology | San Juan Urology Associates P C | 904 S 4th St, Montrose, CO 81401-4226 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lacey R Estes | Physician Assistant | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
Tiffany E Russell | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
Theresa C Frick | Certified Nurse Midwife (cnm) | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
Mary V Mebane | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
Deborah Ls Westervelt | Clinical Social Worker | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
Eric G Boschen | Optometry | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
John T Unger | Chiropractic | 201 S 3rd St, Montrose, CO 81401-3617 | |
Keith A Lundberg | Chiropractic | 140 S 5th St, Montrose, CO 81401-3663 | |
Sean Isaac May | Chiropractic | 164 Colorado Ave, Suite A, Montrose, CO 81401-3672 | |
Nichole L Moorman | Clinical Social Worker | 419 N 1st St, Unit E, Montrose, CO 81401-3703 | |
Find all physicians in zip 81401 |
City | MONTROSE |
Zip Code | 81401 |
Specialty | UROLOGY |
City + Specialty | MONTROSE + UROLOGY |
Please comment or provide details below to improve the information on Craig A Peterson.
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.