Kent A Petrie (NPI# 1265402283, PAC ID# 0547294456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265402283 |
| PAC ID by PECOS | 0547294456 |
| Professional Enrollment ID | I20050920001358 |
| Full Name | Kent A Petrie |
| Organization Legal Name | MOUNTAIN FAMILY HEALTH CENTERS |
| Address |
320 Beard Creek Rd Edwards CO 81632-6426 |
| Phone Number | 9709452840 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3173413101 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060096 | VAIL HEALTH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 320 Beard Creek Rd, Edwards, CO 81632-6426 | 9709452840 | MOUNTAIN FAMILY HEALTH CENTERS |
| Organization Legal Name | MOUNTAIN FAMILY HEALTH CENTERS |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Boschert Percy | Family Medicine | Mountain Family Health Centers | 195 W, 14th, Rifle, CO 81650-4716 |
| Maria Y Chansky | Family Medicine | Mountain Family Health Centers | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4206 |
| Casey M Aguirre | Family Medicine | Mountain Family Health Centers | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4206 |
| Laine Morgan | Nurse Practitioner | Mountain Family Health Centers | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4206 |
| Natasha Ellwood | Physician Assistant | Mountain Family Health Centers | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4206 |
| Mary Christine Patterson | Nurse Practitioner | Mountain Family Health Centers | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4206 |
| Jennifer B Lang | Nurse Practitioner | Mountain Family Health Centers | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4206 |
| Zackary Jacob Kent | Family Medicine | Mountain Family Health Centers | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4206 |
| Sandra Lopina Deveny | Emergency Medicine | Mountain Family Health Centers | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4206 |
| Anneliese Yahn Heckert | Family Medicine | Mountain Family Health Centers | 1905 Blake Ave, Suite 101, Glenwood Springs, CO 81601-4206 |
| Street Address |
320 BEARD CREEK RD |
| City | EDWARDS |
| State | CO |
| Zip | 81632-6426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reginald J Franciose | General Surgery | Vvmc Diversified Services | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Alfredo A Do Pico | Anesthesiology | Anesthesia Partners of Colorado | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Debra Burns | Nurse Practitioner | Mountain Family Health Centers | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Dennis J Lipton | Internal Medicine | Vvmc Diversified Services | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Zephyrinus G Wylie | Anesthesiology | Anesthesia Partners of Colorado | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Rebecca L Adochio | Internal Medicine | Vvmc Diversified Services | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Stephen J Mohr | Urology | Colorado Mountain Medical, PC | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Mark R Stephens | Internal Medicine | Colorado Mountain Medical, PC | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Mindy Cooper | Internal Medicine | Colorado Mountain Medical, PC | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Connie K Wolf | Urology | Colorado Mountain Medical, PC | 320 Beard Creek Rd, Edwards, CO 81632-6426 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Lee Eckdahl | Chiropractic | Edwards Chiropractic and Acupuncture Center LLC | 34295 Us Hwy 6 C-6, Edwards, CO 81632 |
| Claire M Mann | Nurse Practitioner | Bella Derma Professional LLC | 1140 Edwards Village Blvd, B200 Vail Dermatology, Edwards, CO 81632-2736 |
| Jean L Urquhart | Dermatology | Mountain Dermatology Specialists PC | 105 Edwards Village Boulevard, Suite G211, Edwards, CO 81632-3211 |
| Lauren M Bonati | Dermatology | Mountain Dermatology Specialists PC | 105 Edwards Village Boulevard, Suite G211, Edwards, CO 81632-3211 |
| Jonathan D Owens | Optometry | Vail Vision PC | 1140 Edwards Village Blvd, Suite B206, Edwards, CO 81632-5190 |
| Dennis D Page | Optometry | Vail Vision PC | 1140 Edwards Village Blvd, Suite B206, Edwards, CO 81632-5190 |
| Matthew Scott James | Optometry | Vail Vision PC | 1140 Edwards Village Blvd, Suite B206, Edwards, CO 81632-5190 |
| Rebecca Novak | Nurse Practitioner | Vvmc Diversified Services | 322 Beard Creek Rd, Edwards, CO 81632-6426 |
| David A Kuppersmith | Internal Medicine | Steadman Clinic Professional LLC | 322 Beard Creek Rd, Edwards, CO 81632-6426 |
| Marissa Daniels Jamieson | Orthopedic Surgery | Steadman Clinic Professional LLC | 322 Beard Creek Rd, Edwards, CO 81632-6426 |
| Find all physicians in zip 81632 | |||
| City | EDWARDS |
| Zip Code | 81632 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EDWARDS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kent A Petrie.
| 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.