Vicki Tanner Petalas (NPI# 1275197741, PAC ID# 0648507590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275197741 |
| PAC ID by PECOS | 0648507590 |
| Professional Enrollment ID | I20190814004031 |
| Full Name | Vicki Tanner Petalas |
| Organization Legal Name | PMC MEDICAL GROUP LLC |
| Address |
2299 Woodbury Ave Newington NH 03801-7854 |
| Phone Number | 6034313166 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345545737 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300014 | FRISBIE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2299 Woodbury Ave, Newington, NH 03801-7854 | 6034313166 | PMC MEDICAL GROUP LLC |
| 255 Route 108, Somersworth, NH 03878-1543 | 6036923166 | PMC MEDICAL GROUP LLC |
| Organization Legal Name | PMC MEDICAL GROUP LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nong Chrang | Nurse Practitioner | Pmc Medical Group LLC | 255 Route 108, Somersworth, NH 03878-1543 |
| Catherine Elliott | Certified Registered Nurse Anesthetist | Pmc Medical Group LLC | 1976 White Mountain Hwy, North Conway, NH 03860-5147 |
| Yelena N Courchene | Physician Assistant | Pmc Medical Group LLC | 3 Mound Ct, Merrimack, NH 03054-4412 |
| Steven Toscano | Physician Assistant | Pmc Medical Group LLC | 24 Bridge St, Suite 9, Concord, NH 03301-4922 |
| Bertrand P Cole | Family Medicine | Pmc Medical Group LLC | 7 Works Way, Somersworth, NH 03878-1639 |
| Boris Golosarsky | Internal Medicine | Pmc Medical Group LLC | 2 Mound Ct, Merrimack, NH 03054-4488 |
| Donna M Flynn | Physician Assistant | Pmc Medical Group LLC | 22 Bridge St, Suite 2, Concord, NH 03301-4987 |
| Katherine E Murphy | Nurse Practitioner | Pmc Medical Group LLC | 255 Route 108, Somersworth, NH 03878-1543 |
| Kasey E Talon | Nurse Practitioner | Pmc Medical Group LLC | 255 Route 108, Somersworth, NH 03878-1543 |
| Girish C Joshi | Family Medicine | Pmc Medical Group LLC | 255 Route 108, Somersworth, NH 03878-1543 |
| Street Address |
2299 WOODBURY AVE |
| City | NEWINGTON |
| State | NH |
| Zip | 03801-7854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Parker | Physical Therapy | Inner Balance Pelvic Health and Wellness Center | 2299 Woodbury Ave, Suite 1, Newington, NH 03801-7854 |
| Colene Arnold | Obstetrics/gynecology | Inner Balance Pelvic Health and Wellness Center | 2299 Woodbury Ave, Suite 1, Newington, NH 03801-7854 |
| Jolene Shuman | Family Medicine | Pmc Medical Group LLC | 2299 Woodbury Ave, Newington, NH 03801-7854 |
| John P Athans | Pathology | Pmc Medical Group LLC | 2299 Woodbury Ave, Newington, NH 03801-7854 |
| Michelle M Roy | Physician Assistant | Campbell Dermatology Pa | 2299 Woodbury Ave, Suite 3, Newington, NH 03801-7854 |
| Katelyn Buchholz | Nurse Practitioner | Pmc Medical Group LLC | 2299 Woodbury Ave, Newington, NH 03801-7854 |
| Jane Tallent | Nurse Practitioner | Campbell Dermatology Pa | 2299 Woodbury Ave, Suite 3, Newington, NH 03801-7854 |
| Talley E Slate | Nurse Practitioner | Pmc Medical Group LLC | 2299 Woodbury Ave, Newington, NH 03801-7854 |
| Nyla Gardner | Nurse Practitioner | Pmc Medical Group LLC | 2299 Woodbury Ave, Newington, NH 03801-7854 |
| Sarah B Tompkins | Physical Therapy | Inner Balance Pelvic Health and Wellness Center | 2299 Woodbury Ave, Suite 1, Newington, NH 03801-7854 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Detolla | Maxillofacial Surgery | 200 Griffin Park Rd, Suite 8, Portsmouth, NH 03801 | |
| Kristina Zorger | Psychologist, Clinical | 30 Mirona Rd Extension, Portsmouth, NH 03801 | |
| Deeptha Sastry | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Mark A Chag | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Patricia M Yauch | Nurse Practitioner | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Emily Jerszyk Amarosa | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Wendy A Mclaughlin | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Sonja N Nelson | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Caroline Scoones | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Heidi Keup | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Find all physicians in zip 03801 | |||
| City | NEWINGTON |
| Zip Code | 03801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEWINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Vicki Tanner Petalas.
| 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.